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Laparoscopic Complete and Partial Fundoplication

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Conclusion

Laparoscopic Nissen fundoplication has emerged as the procedure of choice for most surgical candidates with GERD. It is clear that laparoscopic fundoplication will abolish gastroesophageal reflux and relieve the typical symptoms of the disease in more than 90% of patients. Symptomatic relief has persisted for up to 4 years following surgery, and there is every reason to expect that the effect will persist for the life expectancy of most patients. Laparoscopic Nissen fundoplication is costeffective, can be performed with little morbidity, and improves quality of life.

Given a high degree of confidence that a patient’s symptoms are secondary to gastroesophageal reflux, selection of the appropriate procedure and operative approach, and careful operative technique on the part of their surgeons, most patients will wish they had undergone laparoscopic Nissen fundoplication years earlier.

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References

  1. DeVault KR, Castell DO. Guidelines for the diagnosis and treatment of gastroesophageal reflux disease. Practice Parameters Committee of the American College of Gastroenterology. Arch Intern Med 1995;155(20):2165–2173.

    Article  PubMed  CAS  Google Scholar 

  2. Rossetti M, Allgower M. Fundoplication for treatment of hiatal hernia. Prog Surg 1973;12:1–21.

    PubMed  CAS  Google Scholar 

  3. Donahue PE, Samelson S, Nyhus LM, Bombeck CT. The floppy Nissen fundoplication. Effective long-term control of pathologic reflux. Arch Surg 1985;120(6):663–668.

    PubMed  CAS  Google Scholar 

  4. DeMeester TR, Bonavina L, Albertucci M. Nissen fundoplication for gastroesophageal reflux disease. Evaluation of primary repair in 100 consecutive patients. Ann Surg 1986;204(1):9–20.

    PubMed  CAS  Google Scholar 

  5. Negre JB. Post-fundoplication symptoms. Do they restrict the success of Nissen fundoplication? Ann Surg 1983;198(6):698–700.

    PubMed  CAS  Google Scholar 

  6. Dallemagne B, Weerts JM, Jehaes C, Markiewicz S, Lombard R. Laparoscopic Nissen fundoplication: preliminary report. Surg Laparosc Endosc Percutan Tech 1991;1(3):138–143.

    CAS  Google Scholar 

  7. Liebermann-Meffert DSH. Rudolf Nissen and the World Revolution of Fundoplication. St. Louis: Quality Medical, 1997.

    Google Scholar 

  8. Nebel OT, Fornes MF, Castell DO. Symptomatic gastroesophageal reflux: incidence and precipitating factors. Am J Dig Dis 1976;21(11):953–956.

    Article  PubMed  CAS  Google Scholar 

  9. Kaul BK, DeMeester TR, Oka M, et al. The cause of dysphagia in uncomplicated sliding hiatal and its relief by hiatal herniorrhaphy. A roentgenographic, manometric, and clinical study. Ann Surg 1990;211(4):406–410.

    PubMed  CAS  Google Scholar 

  10. DeMeester TR, O’Sullivan GC, Bermudez G, Midell AI, Cimochowski GE, O’Drobinak J. Esophageal function in patients with angina-type chest pain and normal coronary angiograms. Ann Surg 1982;196(4):488–498.

    PubMed  CAS  Google Scholar 

  11. Wiener GJ, Richter JE, Copper JB, Wu WC, Castell DO. The symptom index: a clinically important parameter of ambulatory 24-hour esophageal pH monitoring. Am J Gastroenterol 1988;83(4):358–361.

    PubMed  CAS  Google Scholar 

  12. Irwin RS, Curley FJ, French CL. Chronic cough. The spectrum and frequency of causes, key components of the diagnostic evaluation, and outcome of specific therapy. Am Rev Respir Dis 1990;141(3):640–647.

    PubMed  CAS  Google Scholar 

  13. Sontag SJ, O’Connell S, Khandelwal S, et al. Most asthmatics have gastroesophageal reflux with or without bronchodilator therapy [see comments]. Gastroenterology 1990;99(3):613–620.

    PubMed  CAS  Google Scholar 

  14. Winters C Jr, Spurling TJ, Chobanian SJ, et al. Barrett’s esophagus. A prevalent, occult complication of gastroesophageal reflux disease. Gastroenterology 1987;92(1):118–124.

    PubMed  Google Scholar 

  15. Jamieson GG, Watson DI, Britten-Jones R, Mitchell PC, Anvari M. Laparoscopic Nissen fundoplication. Ann Surg 1994;220(2):137–145.

    PubMed  CAS  Google Scholar 

  16. Hunter JG, Trus TL, Branum GD, Waring JP, Wood WC. A physiologic approach to laparoscopic fundoplication for gastroesophageal reflux disease. Ann Surg 1996;223(6):673–685; discussion 685–687.

    Article  PubMed  CAS  Google Scholar 

  17. Johnson LF, DeMeester TR. Development of the 24-hour intraesophageal pH monitoring composite scoring system. J Clin Gastroenterol 1986;8(suppl 1):52–58.

    Article  PubMed  Google Scholar 

  18. Campos GM, Peters JH, DeMeester TR, Oberg S, Crookes PF, Mason RJ. The pattern of esophageal acid exposure in gastroesophageal reflux disease influences the severity of the disease. Arch Surg 1999;134(8):882–887; discussion 887–888.

    Article  PubMed  CAS  Google Scholar 

  19. Nehra D, Howell P, Williams CP, Pye JK, Beynon J. Toxic bile acids in gastro-oesophageal reflux disease: influence of gastric acidity [see comments]. Gut 1999;44(5):598–602.

    Article  PubMed  CAS  Google Scholar 

  20. Costantini M, Zaninotto G, Anselmino M, Boccu C, Nicoletti L, Ancona E. The role of a defective lower esophageal sphincter in the clinical outcome of treatment for gastroesophageal reflux disease. Arch Surg 1996;131(6):655–659.

    PubMed  CAS  Google Scholar 

  21. Rakic S, Stein HJ, DeMeester TR, Hinder RN. Role of esophageal body function in gastroesophageal reflux disease: implications for surgical management. J Am Coll Surg 1997;185(4):380–387.

    Article  PubMed  CAS  Google Scholar 

  22. Kalloor GJ, Deshpande AH, Collis JL. Observations on oesophageal length. Thorax 1976;31(3):284–288.

    PubMed  CAS  Google Scholar 

  23. Gozzetti G, Pilotti V, Spangaro M, et al. Pathophysiology and natural history of acquired short esophagus. Surgery (St. Louis) 1987;102(3):507–514.

    CAS  Google Scholar 

  24. Peters JH, DeMeester TR. The lessons of failed antireflux repairs. St. Louis: Quality Medical, 1994:188–196.

    Google Scholar 

  25. Stein HJ, Feussner H, Siewert JR. Failure of antireflux surgery: causes and management strategies. Am J Surg 1996;171(1):36–39; discussion 39–40.

    Article  PubMed  CAS  Google Scholar 

  26. Gastal OL, Hagen JA, Peters JH, et al. Short esophagus: analysis of predictors and clinical implications. Arch Surg 1999;134(6):633–636; discussion 637–638.

    Article  PubMed  CAS  Google Scholar 

  27. Swanstrom LL, Marcus DR, Galloway GQ. Laparoscopic Collis gastroplasty is the treatment of choice for the shortened esophagus [see comments]. Am J Surg 1996;171(5):477–481.

    Article  PubMed  CAS  Google Scholar 

  28. Ritter MP, Peters JH, DeMeester TR, et al. Treatment of advanced gastroesophageal reflux disease with Collis gastroplasty and Belsey partial fundoplication. Arch Surg 1998;133(5):523–528; discussion 528–529.

    Article  PubMed  CAS  Google Scholar 

  29. Ritter MP, Peters JH, DeMeester TR, et al. Outcome after laparoscopic fundoplication is not dependent on a structurally defective lower esophageal sphincter. J Gastrointest Surg 1998;2(6):567–572.

    Article  PubMed  CAS  Google Scholar 

  30. Johnson WE, Hagen JA, DeMeester TR, et al. Outcome of respiratory symptoms after antireflux surgery on patients with gastroesophageal reflux disease. Arch Surg 1996;131(5):489–492.

    PubMed  CAS  Google Scholar 

  31. So JB, Zeitels SM, Rattner DW. Outcomes of atypical symptoms attributed to gastroesophageal reflux treated by laparoscopic fundoplication. Surgery (St. Louis) 1998;124(1):28–32.

    CAS  Google Scholar 

  32. Campos GM, Peters JH, DeMeester TR, Multivariate analysis of the factors predicting outcome after laparoscopic Nissen fundoplication. J Gastrointest Surg 1999;3:292–300.

    Article  PubMed  CAS  Google Scholar 

  33. Viljakka M, Nevalainen J, Isolauri J. Lifetime costs of surgical versus medical treatment of severe gastrooesophageal reflux disease in Finland. Scand J Gastroenterol 1997;32(8):766–772.

    PubMed  CAS  Google Scholar 

  34. Dalenbak J, Lonroth H, Blomqvist A, Lundell L. Improved functional outcome after laparoscopic fundoplication by complete gastric fundus mobilization. Gastroenterology 1998;114:A1384 [abstract].

    Google Scholar 

  35. Watson DI, Jamieson GG, Devitt PG, Mitchell PC, Game PA. Paraoesophageal hiatus hernia: an important complication of laparoscopic Nissen fundoplication [see comments]. Br J Surg 1995;82(4):521–523.

    PubMed  CAS  Google Scholar 

  36. Swanstrom LL. Laparoscopic partial fundoplications. Probl Gen Surg 1996;13:75–84.

    Google Scholar 

  37. Johnson AB, Oddsdottir M, Hunter JG. Laparoscopic Collis gastroplasty and Nissen fundoplication. A new technique for the management of esophageal foreshortening. Surg Endosc 1998;12(8):1055–1060.

    Article  PubMed  CAS  Google Scholar 

  38. Jobe BA, Horvath KD, Swanstrom LL. Postoperative function following laparoscopic collis gastroplasty for shortened esophagus. Arch Surg 1998;133(8):867–874.

    Article  PubMed  CAS  Google Scholar 

  39. Swanstrom LL, Marcus DR, Galloway GQ. Laparoscopic Collis gastroplasty is the treatment of choice for the shortened esophagus [see comments]. Am J Surg 1996;171(5):477–481.

    Article  PubMed  CAS  Google Scholar 

  40. Gastal OL, Hagen JA, Peters JH, et al. Short esophagus: analysis of predictors and clinical implications. Arch Surg 1999;134(6):633–636; discussion 637–638.

    Article  PubMed  CAS  Google Scholar 

  41. Yang HK, Del Guercio LRM, Steichen FM. Thoracoscopic Belsey Mark IV fundoplication. Surg Rounds 1997:277–291.

    Google Scholar 

  42. Demos NJ, Kulkarni VA, Arago A. A video assisted transthoracichiatal hernioplasty using stapled, uncut gastroplasty and fundoplication. Surg Rounds 1994:427–436.

    Google Scholar 

  43. Salo JA, Kivulisko T, Heikkila L. Thoracoscopic fundoplication. Ann Chir Gynaecol 1993;82:199–201.

    PubMed  CAS  Google Scholar 

  44. Bell RC, Hanna P, Mills MR, Bowrey D. Patterns of success and failure with laparoscopic Toupet fundoplication. Surg Endosc 1999;13(12):1189–1194.

    Article  PubMed  CAS  Google Scholar 

  45. Jobe BA, Wallace J, Hansen PD, Swanstrom LL. Evaluation of laparoscopic Toupet fundoplication as a primary repair for all patients with medically resistant gastroesophageal reflux. Surg Endosc 1999;11(11):1080–1083.

    Article  Google Scholar 

  46. Horvath KD, Jobe BA, Herron DM, Swanstrom LL. Laparoscopic Toupet fundoplication is an inadequate procedure for patients with severe reflux disease. J Gastrointest Surg 1999;3:583–591 [abstract].

    Article  PubMed  CAS  Google Scholar 

  47. Allen CJ, Anvari M. Gastro-oesophageal reflux related cough and its response to laparoscopic fundoplication. Thorax 1998;53(11):963–968.

    Article  PubMed  CAS  Google Scholar 

  48. Cornwell CJ, Trus T, Waring JP. Pattern of failure and results of redo fundoplication. Society of American Gastrointestinal Endoscopic Surgeon.

    Google Scholar 

  49. Patti MG, Feo CV, De Pinto M, et al. Results of laparoscopic antireflux surgery for dysphagia and gastroesophageal reflux disease. Am J Surg 1998;176(6):564–568.

    Article  PubMed  CAS  Google Scholar 

  50. Hinder RA, Filipi CJ, Wetscher G, Neary P, DeMeester TR, Perdikis G. Laparoscopic Nissen fundoplication is an effective treatment for gastroesophageal reflux disease. Ann Surg 1994;220(4):472–481; discussion 481–483.

    PubMed  CAS  Google Scholar 

  51. Watson DI, Jamieson GG, Pike GK, Davies N, Richardson M, Devitt PG. Prospective randomized double-blind trial between laparoscopic Nissen fundoplication and anterior partial fundoplication [see comments]. Br J Surg 1999;86(1):123–130.

    Article  PubMed  CAS  Google Scholar 

  52. Peters JH, DeMeester TR, Crookes P, et al. The treatment of gastroesophageal reflux disease with laparoscopic Nissen fundoplication: prospective evaluation of 100 patients with “typical” symptoms. Ann Surg 1998;228(1):40–50.

    Article  PubMed  CAS  Google Scholar 

  53. Soper NJ, Dunnegan D. Anatomic fundoplication failure after laparoscopic antireflux surgery. Ann Surg 1999;229(5):669–676; discussion 676–677.

    Article  PubMed  CAS  Google Scholar 

  54. Dallemagne B, Weerts JM, Jehaes C, Markiewicz S. Causes of failures of laparoscopic antireflux operations. Surg Endosc 1996;10(3):305–310.

    Article  PubMed  CAS  Google Scholar 

  55. Horgan S, Pohl D, Bogetti D, Eubanks T, Pellegrini C. Failed antireflux surgery: what have we learned from reoperations? Arch Surg 1999;134(8):809–815; discussion 815–817.

    Article  PubMed  CAS  Google Scholar 

  56. Perez AR, Moncure AC, Rattner DW. Obesity is a major cause of failure for both transabdominal and transthoracic antireflux operations. 100th Annual Meeting of the American Gastroenterological Association.

    Google Scholar 

  57. Curet MJ, Josloff RK, Schoeb O, Zucker KA. Laparoscopic reoperation for failed antireflux procedures. Arch Surg 1999;134(5):559–563.

    Article  PubMed  CAS  Google Scholar 

  58. DePaula AL, Hashiba K, Bafutto M, Machado CA. Laparoscopic reoperations after failed and complicated antireflux operations. Surg Endosc 1995;9(6):681–686.

    Article  PubMed  CAS  Google Scholar 

  59. Floch NR, Hinder RA, Klingler PJ, et al. Is laparoscopic reoperation for failed antireflux surgery feasible? Arch Surg 1999;134(7):733–737.

    Article  PubMed  CAS  Google Scholar 

  60. Watson DI, Jamieson GG, Game PA, Williams RS, Devitt PG. Laparoscopic reoperation following failed antireflux surgery. Br J Surg 1999;86(1):98–101.

    Article  PubMed  CAS  Google Scholar 

  61. Heudebert GR, Marks R, Wilcox CM, Centor RM. Choice of long-term strategy for the management of patents with severe esophagitis: a cost-utility analysis [see comments]. Gastroenterology 1997;112(4):1078–1086.

    Article  PubMed  CAS  Google Scholar 

  62. Van Den Boom G, Go PM, Hameeteman W, Dallemagne B, Ament AJ. Cost effectiveness of medical versus surgical treatment in patients with severe or refractory gastroesophageal reflux disease in the Netherlands. Scand J Gastroenterology 1996;31(1):1–9.

    Google Scholar 

  63. Milford MA, Paluch TA. Ambulatory laparoscopic fundoplication. Surg Endosc 1997;11(12):1150–1152.

    Article  PubMed  CAS  Google Scholar 

  64. Donahue PE, Carvalho P, Yoshida J, et al. Endoscopic sclerosis of the cardia affects gastroesophageal reflux. Surg Endosc 1989;3(1):11–12.

    Article  PubMed  CAS  Google Scholar 

  65. Utley DS, Vierra MA, Kim MS, Triadafilopoulos G. Augmentation of the lower esophageal sphincter pressure and gastric yield pressure after radiofrequency energy delivery to the lower esophageal sphincter muscle; a porcine model. Gastrointest Endosc 1999;49:AB133.

    Google Scholar 

  66. O’Connor KW, Madison SA, Smith DJ, Ransburg RC, Lehman GA. An experimental endoscopic technique for reversing gastroesophageal reflux in dogs by injecting inert material in the distal esophagus. Gastrointest Endosc 1984;30(5):275–280.

    Article  PubMed  CAS  Google Scholar 

  67. O’Conner KW, Lehman GA. Endoscopic placement of collagen at the lower esophageal sphincter to inhibit gastroesophageal reflux; a pilot study of 10 medically intractable patients. Gastrointest Endosc 1988;34(2):106–112.

    Article  Google Scholar 

  68. Shafik A. Intraesophageal Polytef injection for the treatment of reflux esophagitis. Surg Endosc 1996;10(3):329–331.

    Article  PubMed  CAS  Google Scholar 

  69. Kadirkamanathan SS, Evans DF, Gong F, Yazaki E, Scott M, Swain CP. Antireflux operations at flexible endoscopy using endoluminal stitching techniques; an experimental study. Gastrointest Endosc 1996;44:133–143.

    Article  PubMed  CAS  Google Scholar 

  70. Kadirkamanathan SS, Yazaki E, Evans DF, Hepworth CC, Gong F, Swain CP. An ambulant porcine model of acid reflux used to evaluate endoscopic gastroplasty. Gut 1999;44:782–788.

    Article  PubMed  CAS  Google Scholar 

  71. Mason RJ, Filipi CJ, DeMeester TR, et al. A new intraluminal antireflux procedure. Gastrointest Endosc 1997;45:283–290.

    Article  PubMed  CAS  Google Scholar 

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Hagen, J.A., Peters, J.H. (2004). Laparoscopic Complete and Partial Fundoplication. In: MacFadyen, B.V., et al. Laparoscopic Surgery of the Abdomen. Springer, New York, NY. https://doi.org/10.1007/0-387-21780-0_3

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  • DOI: https://doi.org/10.1007/0-387-21780-0_3

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