AI Article Synopsis
- The article reviews the outcomes of a specific surgical procedure called laparoscopic Nissen-Rossetti fundoplication for treating gastroesophageal reflux disease (GERD) used since 1972.
- The study included 380 patients, demonstrating no major surgeries converted to open procedures, a low complication rate, and high patient satisfaction (92%) after a follow-up period averaging 83 months.
- Key factors for successful outcomes included proper preoperative assessments and effective surgical techniques, resulting in minimal side effects such as postoperative dysphagia (3.5%) and recurrent heartburn (3.8%).
Article Abstract
Background: Several different ways of fashioning a total fundoplication lead to different outcomes. This article addresses the technical details of the antireflux technique we adopted without modifications for all patients with GERD beginning in 1972. In particular it aims to discuss the relation between the mechanism of function of the wrap and the physiology of the esophagus.
Methods: The study population consisted of 380 patients affected by GERD with a 1-year minimum of follow-up who underwent laparoscopic Nissen-Rossetti fundoplication by a single surgeon.
Results: No conversion to open surgery and no mortality occurred. Major complications occurred in 4 patients (1.1%). Follow-up (median 83 months; range: 1-13 years) was achieved in 96% of the patients. Ninety-two percent of the patients were satisfied with the results of the procedure and would undergo the same operation again. Postoperative dysphagia occurred in 3.5% of the patients, and recurrent heartburn was observed in 3.8%.
Conclusions: Laparoscopic Nissen-Rossetti fundoplication with the routine use of intraoperative manometry and endoscopy achieved good outcomes and long-term patient satisfaction with few complications and side-effects. Appropriate preoperative investigation and a correct surgical technique are important in securing these results.
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| http://dx.doi.org/10.1007/s00268-006-0495-5 | DOI Listing |
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