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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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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