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Laparoscopic Nissen versus anterior fundoplication in patients with oesophageal dysmotility: a randomized controlled trial by R. Ackroyd; D. I. Watson; P. G. Devitt; P. A. Game; G. G. Jamieson is a Medicine article available to read on EtoBox.

What is Laparoscopic Nissen versus anterior fundoplication in patients with oesophageal dysmotility: a randomized controlled trial about?

## Abstract ## Background It has been postulated that in patients with oesophageal dysmotility a partial fundoplication may be associated with a better outcome than a Nissen fundoplication. This study aimed to compare laparoscopic anterior fundoplication with laparoscopic Nissen fundoplication in patients with disordered peristalsis. ## Methods One hundred and seven patients with documented gastro-oesophageal reflux disease were randomized to undergo either a Nissen fundoplication (n = 53) or an anterior 180° hemifundoplication (n = 54), and were seen at follow-up at least once a year by a blinded investigator who used standardized clinical grading systems to assess postoperative dysphagia, heartburn and patient satisfaction. Patients were divided into two groups depending on preoperative oesophageal manometric findings: normal peristalsis (81 patients) or disordered peristalsis (26 patients – propagated less than 50 per cent of swallows and/or distal peristaltic amplitude less than 40 mmHg). ## Results At all follow-up intervals beyond 6 months, patients who underwent an anterior fundoplication experienced less dysphagia and were more likely to be satisfied with the clinical outco

Who reads Laparoscopic Nissen versus anterior fundoplication in patients with oesophageal dysmotility: a randomized controlled trial?

Author

R. Ackroyd; D. I. Watson; P. G. Devitt; P. A. Game; G. G. Jamieson

Publisher

John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley; Research Square; Oxford University Press (OUP) (ISSN 0007-1323)

Published

2001

Language

EN

Field

Medicine (Health Sciences)