Five-year follow-up of a randomized clinical trial of laparoscopic total <i>versus</i> anterior 180° fundoplication

Ludemann, R; Watson, David I.; Jamieson, Glyn G.; Game, Philip A.; Devitt, Peter G.

doi:10.1002/bjs.4762

Cited by 107 publications

(111 citation statements)

References 17 publications

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“…35,36 An additional analysis was performed based on the latest follow-up of the three trials that reported outcome at five years and beyond. Outcome at five years and beyond was available for 335 out of 370 [90.5%] patients.…”

Section: Outcome At Five Years and Beyondmentioning

confidence: 99%

Laparoscopic Anterior 180-Degree Versus Nissen Fundoplication for Gastroesophageal Reflux Disease

et al. 2013

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Running headAnterior 180˚ versus Nissen fundoplication for GERD: a meta-analysis Word count 3161Archived at the Flinders Academic Commons: http://dspace.flinders.edu.au/dspace/ 2 Mini-AbstractSystematic review and meta-analysis demonstrating that laparoscopic anterior 180˚ fundoplication (180˚ LAF) reduces short and longer-term dysphagia and gas-related symptoms compared to laparoscopic Nissen fundoplication, with similar reflux control, dilatations and reoperation rate. These results lend level 1a support for the use of 180˚ LAF for the surgical treatment of GERD.Archived at the Flinders Academic Commons: http://dspace.flinders.edu.au/dspace/ 3 Structured abstractObjective: To compare short and longer-term outcome after laparoscopic anterior 180˚ fundoplication (180˚ LAF) versus laparoscopic Nissen fundoplication (LNF). Summary of background data:LNF is currently the most frequently performed surgical therapy for GORD. Alternatively, 180˚ LAF has been alleged to reduce troublesome dysphagia and gas-related symptoms, with similar reflux control. Methods Conclusions:At one and five years, dysphagia and gas-related symptoms are lower after 180˚ LAF compared with LNF, and esophageal acid exposure and esophagitis are similar, with no differences in heartburn scores, patient satisfaction, dilatations and reoperation rate.These results lend level 1a support for the use of 180˚ LAF for the surgical treatment of GERD.

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Section: Outcome At Five Years and Beyondmentioning

confidence: 99%

Laparoscopic Anterior 180-Degree Versus Nissen Fundoplication for Gastroesophageal Reflux Disease

et al. 2013

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“…A randomized clinical trial comparing fundoplication techniques found better postoperative functional data for the 180° anterior than for a total Nissen wrap [8]. On the other hand, a reduced reflux control was expected for the long-time course [8,9]. None of these studies used standardized questionnaires for evaluation of postoperative quality of life (QoL).…”

Section: Introductionmentioning

confidence: 99%

Nissen versus Dor Fundoplication for Treatment of Gastroesophageal Reflux Disease: A Blinded Randomized Clinical Trial

Raue

Ordemann

Jacobi³

et al. 2011

Dig Surg

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Introduction: Fundoplication techniques for treatment of gastroesophageal reflux are discussed concerning impairments and success. This randomized trial was conducted to compare Nissen’s wrap and the anterior partial technique (Dor) concerning patients’ quality of life (QoL) and functional data after a mid-term follow-up. Methods: In a 24-month period, 64 patients were equally randomized into group A (Nissen’s fundoplication) and group B (180° anterior partial fundoplication). After a mean follow-up of 18 months, all patients were examined and interviewed using standardized QoL questionnaires (Gastrointestinal Quality of Life Index), Visick score, 24-hour pH-metry and esophageal manometry. Data of 57 patients (group A: 27, group B: 30) could be analyzed. Results: After partial fundoplication, 9 patients (30%) stated the operative results were worse than perfect. Only 2 patients (7%) evaluated the outcome after Nissen’s fundoplication as unsuccessful (p = 0.04). However, postoperative Gastrointestinal Quality of Life Index showed no differences between groups (p = 0.5). Additionally, functional data were not different (DeMeester 10 vs. 12, p = 0.17, and lower esophageal sphincter pressure 13 vs. 12 mm Hg, p = 0.5). Conclusion: The anterior partial fundoplication technique did not lead to disadvantages in postoperative QoL, physiological function and reflux control when compared to Nissen’s approach in a mid-term follow-up.

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“…Anterior partial fundoplication is an alternative approach, and randomised trials have also shown that these techniques also reduce the risk of wind related side effects, as well as consistently reducing the risk of post-fundoplication dysphagia 4,5,6,7 …”

Section: Introductionmentioning

confidence: 99%

Anterior 90° Partial vs Nissen Fundoplication—5 Year Follow-Up of a Single-Centre Randomised Trial

Watson

Devitt

Smith

et al. 2012

Journal of Gastrointestinal Surgery

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Five-year follow-up of a randomized clinical trial of laparoscopic total versus anterior 180° fundoplication

Cited by 107 publications

References 17 publications

Laparoscopic Anterior 180-Degree Versus Nissen Fundoplication for Gastroesophageal Reflux Disease

Laparoscopic Anterior 180-Degree Versus Nissen Fundoplication for Gastroesophageal Reflux Disease

Nissen versus Dor Fundoplication for Treatment of Gastroesophageal Reflux Disease: A Blinded Randomized Clinical Trial

Anterior 90° Partial vs Nissen Fundoplication—5 Year Follow-Up of a Single-Centre Randomised Trial

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