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Related Experiment Videos

[Open antireflux surgery]

D Oertli1, F Harder

  • 1Departement Chirurgie, Allgemeinchirurgische Klinik, Universität Basel.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|April 29, 1998
PubMed
Summary
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The Nissen fundoplication is effective for gastroesophageal reflux disease, but modifications like the "floppy" Nissen can reduce side effects. Reoperations can restore function, and alternative techniques exist for complex cases.

Area of Science:

  • Gastroenterology and Surgical Procedures
  • Reflux Management Strategies

Context:

  • Gastroesophageal reflux disease (GERD) often requires surgical intervention.
  • Nissen antireflux fundoplication is a common procedure with high success rates.
  • Potential sequelae include dysphagia, inability to belch/vomit, and gas bloat syndrome.

Purpose:

  • To review the efficacy and potential complications of Nissen fundoplication for GERD.
  • To discuss modifications and alternative surgical techniques for GERD management.
  • To highlight the importance of preoperative assessment for complex GERD cases.

Summary:

  • The Nissen fundoplication offers good long-term results in over 80% of GERD patients.
  • The "floppy" Nissen modification can decrease the incidence of post-operative symptoms.

Related Experiment Videos

  • Reoperation for wrap disruption/displacement can yield successful outcomes.
  • Transthoracic repairs (Nissen, Collis, Belsey) and partial fundoplications (Hill, Toupet) are alternatives for specific indications.
  • Ligamentum teres cardiopexy and Angelchik prosthesis are not recommended due to high failure rates.

    • Impact:

    • Informed surgical decision-making for GERD patients and clinicians.
    • Potential for improved patient outcomes through optimized surgical techniques.
    • Guidance on selecting appropriate surgical interventions based on individual patient anatomy and physiology.