Related Experiment Video
Updated: Aug 21, 2026

Technical Considerations and Approach to Redo Foregut Surgery
Published on: September 22, 2023
[Conventional and minimally invasive surgical methods for gastroesophageal reflux]
1Klinik für Visceral-, Gefäss- und Thoraxchirurgie, Markus-Krankenhaus, Frankfurter Diakonie-Kliniken. Karl-Hermann.Fuchs@fdk.info
Unlabelled:
The introduction of minimally invasive techniques has had great influence on the indication and surgical therapy for gastroesophageal reflux disease. This analysis is an overview of the current evidence-based status and a critical reprisal of open and laparoscopic antireflux surgery.
Results:
The analysis of randomized trials showed an advantage for patients after laparoscopy for total and partial fundoplication because of reduced morbidity, shorter postoperative hospitalization due to faster recovery, and significantly fewer scar and wound problems. The functional results of open and laparoscopic techniques were similar. Five-year follow-up results for the latter showed effective reflux control in at least 85% of patients. Randomized trials regarding technical variations did not show an advantage for division of the short gastric vessel. A bougie for the cardia calibration can prevent postoperative dysphagia after fundoplication.
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