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Updated: Aug 12, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
[Long-term results following fundus plication. Symptoms after 10 to 20 years]
C Ackermann1, L Margreth, C Muller
1Departement Chirurgie, Kantonsspital Basel.
Abstract:
10 to 20 years (median 15.1 years) after fundoplication for primary reflux disease, 257 patients were asked to complete a questionnaire concerning their symptoms. Data of 163 patients (64.3%) were analyzed. Results were as follows: 21.4% of the patients had persistent or recurrent reflux symptoms, about half (9.8%) needing medical treatment. Adverse side effects of fundoplication were frequent (dysphagia in 28.2% and gas-bloat in 50.3%). Using the Visick classification criteria we found Visick grade I and II in 75.5%, grade III in 17.2%, and IV in 7.4%.
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