Anterior Versus Posterior Fundoplication, Are They Equal?

  • Courtney Olmsted
  • Peter Nau


Gastroesophageal reflux disease (GERD) is a common condition in western societies with as many 40% experiencing symptoms monthly [1]. It can affect one’s health related quality of life and is associated with a number of complications including an increased risk for esophageal adenocarcinoma [2]. The Nissen fundoplication has been the most widely used procedure for the surgical management of GERD and hiatal hernias for six decades. It was first described by Rudolf Nissen in 1956 for the treatment of GERD [3] and then later in 1961 for hiatal hernias [4]. With the advent of laparoscopic surgery it is primarily performed via a minimally invasive approach as it reduces the morbidity associated with an open procedure [5]. The long-term efficacy of anti-reflux surgery had been validated in numerous studies [6–10]. A prospective, randomized control trial with 10-year follow-up definitively establishes the safety and efficacy of both laparoscopic partial and Nissen fundoplications [9, 10]. After 10 years, a minority of patients had return of reflux symptoms, and when surveyed, nearly all were satisfied with their outcome and decision to have undergone the surgery [9, 10].


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Surgery, Carver College of MedicineUniversity of IowaIowa CityUSA

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