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Related Experiment Video

Updated: Dec 31, 2025

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery

Published on: September 22, 2023

Wrap choice during fundoplication.

Simon R Bramhall¹, Moustafa M Mourad²

¹Department of Surgery, The County Hospital, Hereford HR1 2ER, United Kingdom. simon.bramhall@wvt.nhs.uk.

World Journal of Gastroenterology

|January 8, 2020

Summary

This summary is machine-generated.

Laparoscopic anti-reflux surgery is an alternative to medication for severe gastro-oesophageal reflux disease. Anterior wraps may offer fewer complications than traditional Nissen wraps, with similar symptom control.

Keywords:

Choice Fundoplication Laparoscopic Reflux disease Wrap

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Area of Science:

Gastroenterology
Surgical Innovation
Reflux Management

Background:

Gastro-oesophageal reflux disease (GERD) presents a growing health challenge.
Medical therapy is standard, but laparoscopic anti-reflux surgery is increasingly adopted for refractory cases.
The Nissen 360-degree wrap, a traditional standard, carries risks of complications like dysphagia and gas bloat.

Discussion:

This editorial reviews various surgical wrap techniques for GERD.
Modifications to the Nissen wrap and alternative wrap procedures aim to reduce complications.
A recent meta-analysis suggests anterior wraps offer comparable reflux control with fewer adverse events.

Key Insights:

Anterior wraps demonstrate a lower complication rate compared to traditional Nissen wraps.
Symptom control efficacy of anterior wraps is comparable to the Nissen procedure.
The choice of surgical technique remains surgeon-dependent.

Outlook:

Further long-term follow-up data is needed to fully assess anterior wrap outcomes.
Continued research into surgical modifications and alternative techniques is warranted.
Optimizing surgical approaches for GERD management is crucial for patient outcomes.