Results of laparoscopic Nissen fundoplication at 2-8 years after surgery.

Abstract

BACKGROUND:

Although the long-term results of open fundoplication for gastro-oesophageal reflux disease are well documented, there have been few reports of the long-term results of laparoscopic fundoplication.

METHODS:

Between January 1993 and July 1999, 179 consecutive patients underwent laparoscopic floppy Nissen fundoplication. Of these, 175 were available for long-term follow-up. Structured symptom questionnaires were completed by 140 patients (80 per cent) at 2-5 years (n = 92) or 5-8 years (n = 48) after operation.

RESULTS:

Patient satisfaction with surgery was 91 per cent at a median follow-up of 48 (range 24-99) months. Visick scores of I or II were recorded by 84 per cent. Ninety per cent of patients remained free from significant reflux symptoms. Side-effects were common (22 per cent) but rarely affected patient satisfaction. Of the 19 patients (14 per cent) taking regular antireflux medication, eight used it for non-reflux symptoms and 12 had normal postoperative pH tests.

CONCLUSION:

Laparoscopic floppy Nissen fundoplication is an effective and durable treatment for gastro-oesophageal reflux disease. Longer-term follow-up of patients operated on beyond the learning curve can be expected to show further improvements in surgical outcome.

• Authors: M I Booth, L Jones, J Stratford, T C B Dehn
• Journal: The British journal of surgery (Br J Surg) Vol. 89 Issue 4 Pg. 476-81 (Apr 2002) ISSN: 0007-1323 [Print] England
• PMID: 11952591 (Publication Type: Journal Article)

Topics

• Adolescent
• Adult
• Aged
• Aged, 80 and over
• Child
• Female
• Follow-Up Studies
• Fundoplication (adverse effects, methods)
• Gastroesophageal Reflux (surgery)
• Gastroscopy (adverse effects, methods)
• Humans
• Male
• Middle Aged
• Patient Satisfaction
• Postoperative Care (methods)
• Reoperation
• Treatment Outcome