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Journal of Gastrointestinal Surgery

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01-04-2013 | How I do it

Laparoscopic Total Fundoplication for Gastroesophageal Reflux Disease. How I Do It

Authors: Marco E. Allaix, Fernando A. Herbella, Marco G. Patti

Published in: Journal of Gastrointestinal Surgery | Issue 4/2013

Abstract

Introduction

A laparoscopic fundoplication is considered today the procedure of choice for the treatment of gastroesophageal reflux disease (GERD).

Discussion

Several eponyms are used in the literature to denote different antireflux operations: Nissen, Nissen-Rossetti, Toupet, Lind, Guarner, Hill, and Dor. We feel that it is more important to focus on the technical elements which make a fundoplication effective and long lasting. The type of fundoplication (total vs. partial) is tailored to the quality of esophageal peristalsis as documented by the preoperative manometry. In the USA, a partial fundoplication is chosen only for patients with very impaired or absent esophageal peristalsis.

Conclusion

This article describes the technique of laparoscopic total fundoplication for GERD. Partial fundoplication is performed following the same technical elements as the total fundoplication. A 240° to 270° wrap rather than a 360° wrap is performed.

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Title: Laparoscopic Total Fundoplication for Gastroesophageal Reflux Disease. How I Do It
Authors: Marco E. Allaix
Fernando A. Herbella
Marco G. Patti
Publication date: 01-04-2013
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 4/2013
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-012-2068-2

2024 ASCO Annual Meeting

Springer Medicine

Laparoscopic Total Fundoplication for Gastroesophageal Reflux Disease. How I Do It

Abstract

Introduction

Discussion

Conclusion

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Introduction

Discussion

Conclusion

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