A Nissen fundoplication , or laparoscopic Nissen fundoplication when performed via laparoscopic surgery , is a surgical procedure to treat gastroesophageal reflux disease GERD and hiatal hernia. In GERD, it is usually performed when medical therapy has failed; but, with a Type II paraesophageal hiatus hernia , it is the first-line procedure. Rudolph Nissen — first performed the procedure in and published the results of two cases in a Swiss Medical Weekly. The procedure has borne his name since it gained popularity in the s.
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Background: Laparoscopic Heller myotomy LHM with partial fundoplication is an effective treatment for achalasia. However, the type of fundoplication is still a subject of debate. Aim: The aim of the study is to identify which partial fundoplication leads to better control of acid exposure, manometric parameters, and symptoms scores. The preoperative diagnosis was made by high-resolution manometry HRM , upper endoscopy, and barium esophagogram.
Results: Seventy-three patients were randomized, 38 underwent Dor and 35 Toupet. Baseline characteristics were similar between groups.
The number of patients with abnormal acid exposure was significantly lower for Dor 6. No differences were found in postoperative symptom scores at 1, 6, or 24 months. Conclusion: There were no differences in symptom scores or HRM between fundoplications in the long term. A higher percentage of abnormal h pH test were found for the Toupet group, with no difference in the long term.
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Rawlings A, et al. Surg Endosc. Epub Jul Heller myotomy via minimal-access surgery. An evaluation of antireflux procedures. Raiser F, et al. Arch Surg. PMID: Peroral endoscopic myotomy leads to higher rates of abnormal esophageal acid exposure than laparoscopic Heller myotomy in achalasia. Sanaka MR, et al. Epub Oct Dor versus Toupet fundoplication after Laparoscopic Heller Myotomy: Systematic review and Bayesian meta-analysis of randomized controlled trials. Aiolfi A, et al.
Asian J Surg. Epub Apr PMID: Review. Zentralbl Chir. Show more similar articles See all similar articles. Cappell MS, et al. Dig Dis Sci. Epub Aug Achalasia: treatment, current status and future advances. Korean J Intern Med. Epub Mar Siddaiah-Subramanya M, et al. World J Surg.
References J Gastrointest Surg. Publication types Comparative Study Actions. Randomized Controlled Trial Actions. MeSH terms Adolescent Actions. Adult Actions. Aged Actions. Esophageal pH Monitoring Actions.
Esophagoscopy Actions. Female Actions. Humans Actions. Hydrogen-Ion Concentration Actions. Laparoscopy Actions. Male Actions. Manometry Actions. Middle Aged Actions. Pressure Actions. Symptom Assessment Actions. Time Factors Actions. Treatment Outcome Actions. Young Adult Actions. Full-text links [x] Springer. Copy Download.