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Updated: Jun 3, 2026

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve

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Early experience with laparoscopic nissen fundoplication.

J H Peters¹, T R Demeester

¹Assistant Professor of Surgery, University of Southern California School of Medicine, Chief, Division of General Surgery, USC University Hospital, Los Angeles, California.

Surgical Technology International

|March 15, 2011

Summary

Most gastroesophageal reflux disease (GERD) patients have mild symptoms and do not require surgery. However, about 25% develop progressive disease and may benefit from surgical intervention.

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Technical Considerations and Approach to Redo Foregut Surgery

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Technical Considerations and Approach to Redo Foregut Surgery

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Published on: September 22, 2023

Area of Science:

Gastroenterology
Surgical Therapeutics

Background:

Gastroesophageal reflux disease (GERD) often presents with limited symptoms responsive to conservative management.
The majority of GERD patients experience a benign form of the disease, not progressing to complications or requiring surgical intervention.

Purpose of the Study:

To identify the subset of GERD patients who are best suited for antireflux surgery.
To highlight the importance of identifying risk factors for progressive GERD and therapeutic failure.

Main Methods:

Analysis of the natural history of GERD.
Review of factors predisposing to complications and treatment failure.

Main Results:

Most GERD patients have limited disease and do not progress to complications.
Approximately 25% of GERD patients develop recurrent or progressive disease, representing a suitable population for surgical therapy.
Currently, no reliable method exists to predict which patients will develop progressive GERD.

Conclusions:

Antireflux surgery is best reserved for the 25% of GERD patients with recurrent or progressive disease.
Early identification of predisposing factors for complications and medical therapy failure is crucial for guiding therapeutic decisions.