The Pros and Cons of Partial Versus Total Fundoplication for Gastroesophageal Reflux Disease. J Laparoendosc Adv Surg Tech A 2020 Feb;30(2):117-120
Date
05/18/2019Pubmed ID
31100029DOI
10.1089/lap.2019.0297Scopus ID
2-s2.0-85079356224 (requires institutional sign-in at Scopus site) 9 CitationsAbstract
Laparoscopic Nissen fundoplication is currently the most commonly performed procedure for gastroesophageal reflux disease (GERD). In patients with inefficient esophageal motility, a partial fundoplication such as a Toupet 270-degree posterior fundoplication is often recommended. There is controversy as it relates to the necessity of this tailored approach to fundoplication. There is also debate when it comes to the suitability and even the superiority of a partial compared to a full fundoplication. There are numerous randomized controlled trials and meta-analyses of these trials to guide the debate. From the evidence, it would appear that a full and a partial fundoplication are associated with similar GERD-related outcomes and that a partial fundoplication is associated with fewer side effects such as bloating and dysphagia.
Author List
Higgins RM, Gould JCAuthors
Jon Gould MD Chief, Professor in the Surgery department at Medical College of WisconsinRana Higgins MD Associate Professor in the Surgery department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Deglutition DisordersEsophagoplasty
Fundoplication
Gastroesophageal Reflux
Humans
Laparoscopy
Meta-Analysis as Topic
Patient Satisfaction
Postoperative Complications
Quality of Life
Randomized Controlled Trials as Topic
Reoperation
Review Literature as Topic
Stomach
Treatment Outcome
