Fundoplication Nissen

H. J. Stein, W. K. Kauer, H. Feussner and J. R. Siewert, Bile reflux in benign and malignant Barrett s esophagus effect of medical acid suppression and nissen fundoplication, J. Gastrointest. Surg., 1998, 2(4), 333. 

Chapman WH, Young JA, Albrecht RJ, Kim VB, Nifong LW, Chitwood WR Jr (2001) Robotic Nissen fundoplication alternative surgical technique for the treatment of gastroesophageal reflux disease. J Laparoendosc Adv Surg Tech A 11 27-30... 

In general, the laparoscopic approach follows the same principles as the open Nissen fundoplication. A particular advantage is the excellent visibility of the gastroesophageal junction at operation and the relatively atraumatic nature of the procedure as compared to a major upper abdominal incision. A short (1 to 2 cm) wrap is advocated to avoid postoperative dysphagia. Other modifications that have been proposed include either division of the short gastric vessels to establish a tension-free fundoplication using a mobile posterior portion of the fundus or, alternatively, nondivision with the use of a more anterior portion of the fundus. 

Anvari M, Allen C. Laparoscopic Nissen fundoplication two-year comprehensive follow-up of a technique of minimal paraesophageal dissection. Ann Surg 1998 227 25-32. 

Bais JE, Bartelsman JF, Bonjer HJ, et al. Laparoscopic or conventional Nissen fundoplication for gastro-esophageal reflux disease randomized clinical trial. Lancet 2000 355 170-174. 

Bammer T, Hinder RA, Klaus A, et al. Five- to eight-year outcome of the first laparoscopic Nissen fundoplications. J Gastrointest Surg 2001 16 42-48. 

Donahue PE, Larson GM, Stewardson RH, et al. Floppy Nissen fundoplication. RevSurg 1977 34(4) 223-224. 

Donahue PE, Samelson S, Nyhus LM, et al. The floppy Nissen fundoplication effective long-term control of pathologic reflux. Arch Surg 1985 120 663-668. 

El-Serag HB, Sonnenberg A. Outcomes of erosive reflux esophagitis after Nissen fundoplication. Am J Gastroenterol 1999 94 1771-1776. 

Randolph J. Experience with the Nissen fundoplication for correction of gastro-esophageal reflux in infants. Ann Surg 1983 198 579-584. 

Sonnenberg A. AAotion-Laparoscopic Nissen fundoplication is more cost effective than oral PPI administration ... 

As a general rule, total fundoplication is the best option. After the Nissen fundoplication, 8% of patients suffer from symptoms of recurrent GORD after the Toupet procedure it is 20%. 

Fig. 13.4. Diagram of Nissen fundoplication with the typical wrap around the oesophagogastric junction...

Graziano K, Teitelbaum DH, McLean K et al. (2003) Recurrence after laparoscopic and open Nissen fundoplication a comparison of the mechanisms of failure. Surg Endosc 17(5) 704-707... 

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