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Related Experiment Videos

Long-term symptomatic follow-up after lind fundoplication

Cameron1, Stoddard, Treacy

  • 1Department of Surgery, Royal Hallamshire Hospital, Sheffield, UK.

The British Journal of Surgery
|March 16, 2000
PubMed
Summary

Open Lind fundoplication effectively controls gastro-oesophageal reflux disease symptoms long-term in 95% of patients. This study provides a benchmark for comparing future laparoscopic antireflux surgery outcomes.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Digestive System Diseases

Background:

  • Limited long-term data exists for antireflux surgery outcomes.
  • Gastro-oesophageal reflux disease (GERD) significantly impacts patient quality of life.
  • Assessing the durability of surgical interventions is crucial for patient management.

Purpose of the Study:

  • To evaluate the long-term efficacy of open Lind fundoplication for GERD symptom control.
  • To establish a benchmark for comparing outcomes with newer laparoscopic techniques.

Main Methods:

  • A cohort of 132 patients underwent primary open Lind fundoplication between 1986 and 1994.
  • Oesophageal pH monitoring was performed pre- and post-operatively in 91 patients.
  • Long-term symptom assessment was conducted via telephone interview at a median of 9.5 years post-surgery in 112 surviving patients.

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Main Results:

  • Open Lind fundoplication significantly reduced oesophageal acid exposure (14.9% to 2.4%, P < 0.001).
  • At long-term follow-up, 95% of patients were symptom-free of heartburn and regurgitation.
  • 33% experienced early post-fundoplication symptoms; 3% had persistent dysphagia or gas bloat.

Conclusions:

  • Open Lind fundoplication demonstrates high long-term effectiveness (95%) in managing GERD.
  • The procedure offers durable symptom control, with minimal persistent complications.
  • Results provide a critical standard for evaluating the long-term success of laparoscopic antireflux surgery.