Ten year evaluation of posterior fundoplasty in the treatment of gastroesophageal reflux

Guarner, Vicente; Martínez, Nelson; J, Gaviño

doi:10.1016/0002-9610(80)90254-8

Cited by 29 publications

(8 citation statements)

References 7 publications

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“…Guarner et al [19] confirmed these results in a retro spective study: a partial 300° FP restores an adequate sphincteric tone [20], and clinical results are identical to those obtained after the Nissen repair [21 ]. The functional results of partial fundoplication are better than after the Nissen technique.…”

Section: Discussionsupporting

confidence: 71%

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Surgical Treatment of Gastroesophageal Reflux – 180° or 270° Fundoplication Results on the Basis of Preoperative Sphincteric Pressure: Prospective Study in 45 Patients

Michot¹,

Blanc²,

Denis³

et al. 1992

Dig Surg

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The aim of this study was to match the type of fundoplication and preoperative low esophageal sphincter (LES) pressure values. A posterior 180° fundoplication (180° FP) was performed when LES pressure was above 10 cm H₂0, and a 270° FP when it was below 10 cm H₂0. Among the 45 patients included in this study, 38 underwent a 270° FP and 7 a 180° FP. In patients with 270° FP, the median pre- and postoperative Kaye scores were 263.1 ± 130.6 and 1.8 ± 6.8, respectively; pre- and postoperative LES pressure values were 4.2 ± 2.9 and 24.5 ± 14.7 cm H₂0, respectively. In patients with 180° FP, the median pre- and postoperative Kaye scores were 265.1 ± 89 ± 4 and 3.3 ± 7.6, respectively; pre- and postoperative LES pressure were 13.6 ± 2.1 and 20.4 ± 6 cm H₂0, respectively. LES pressure could be the deciding factor in selecting the type of fundoplication, with which functional and pH-metric normalization could be achieved after surgery.

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Section: Discussionsupporting

confidence: 71%

“…The postoperative dysphagia rate was between 0 [1. 9] and 2.9% [19] after partial FP. and between 3 and 14% [2.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Gastroesophageal Reflux – 180° or 270° Fundoplication Results on the Basis of Preoperative Sphincteric Pressure: Prospective Study in 45 Patients

Michot¹,

Blanc²,

Denis³

et al. 1992

Dig Surg

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“…4 It is obvious that a partial fundic wrap in this setting is preferable to a full wrap, which might result in continued esophageal obstruction. Several studies [5][6][7] have confirmed the usefulness of TF in patients with esophageal dysmotility disorders. In addition, a number of recent reports have demonstrated the efficacy of the procedure in adults with GER disease that is not associated with achalasia or other esophageal motility disorders.…”

Section: Preoperative Evaluation and Treatmentmentioning

confidence: 99%

Toupét Fundoplication for Gastroesophageal Reflux in Childhood

Weber

1999

Arch Surg

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“…Briefly, the mobilization for both procedures was the same and included transection of the short gastric vessels and mediastinal dissection to allow 3 cm of esophagus to rest without tension in the peritoneal cavity. In the majority of patients undergoing a partial fundoplication, the crura were closed around a 52-Fr bougie (Guarner modification [7]). In those without large hiatus, a typical Toupet was performed (i.e., the crura were not closed).…”

Section: Operationmentioning

confidence: 99%

Total fundoplication is the operation of choice for patients with gastroesophageal reflux and defective peristalsis

et al. 2002

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Our study shows that both a partial and a total fundoplication are effective in controlling the symptoms of GERD in patients with defective peristalsis. Dysphagia improves significantly after total fundoplication but not after partial fundoplication. Although both operations brought acid reflux to within normal limits, the effect was more pronounced with total fundoplication. Total, but not partial, fundoplication produced a significant increase in amplitude of esophageal peristalsis, which may explain the subjective improvement during deglutition. Therefore, fundoplication should be the treatment of choice in patients with GERD and defective peristalsis.

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Ten year evaluation of posterior fundoplasty in the treatment of gastroesophageal reflux

Cited by 29 publications

References 7 publications

Surgical Treatment of Gastroesophageal Reflux – 180° or 270° Fundoplication Results on the Basis of Preoperative Sphincteric Pressure: Prospective Study in 45 Patients

Surgical Treatment of Gastroesophageal Reflux – 180° or 270° Fundoplication Results on the Basis of Preoperative Sphincteric Pressure: Prospective Study in 45 Patients

Toupét Fundoplication for Gastroesophageal Reflux in Childhood

Total fundoplication is the operation of choice for patients with gastroesophageal reflux and defective peristalsis

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