HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Henderson, R. D. Articles by Marryatt, G. V. Search for Related Content PubMed PubMed Citation Articles by Henderson, R. D. Articles by Marryatt, G. V.

The Annals of Thoracic Surgery, Vol 39, 74-79, Copyright © 1985 by The Society of Thoracic Surgeons

ARTICLES

Total fundoplication gastroplasty (Nissen gastroplasty): five-year review

RD Henderson and GV Marryatt

Gastroplasty was introduced by Collis in 1961 and has undergone several modifications. The combination of total fundoplication with gastroplasty was reported in 1977 and referred to as total fundoplication gastroplasty; however, the term Nissen gastroplasty also is commonly used. This article is an extension of the original 1977 report and, to our knowledge, represents the first 5-year review of total fundoplication gastroplasty. Three hundred fifty-one consecutive patients with intractable reflux were preoperatively evaluated by history, radiographic studies, manometric studies with determination of pH, and esophagogastroduodenoscopy prior to surgical management by total fundoplication gastroplasty. There were no operative deaths. Follow-up averaged 6.5 years with an effective clinical review available for 95.4% of the patients, radiographic studies for 92.3%, and manometric studies with pH evaluation for 70.7%. Among the 335 patients with 5 or more years of follow-up, 93.1% had excellent results with normal eating and no investigative evidence of recurrence of reflux, 4.0% had mild residual symptoms, and 2.9% had persistent or recurrent symptoms. With this technique, the problems of overcompetence and dysphagia are substantially reduced because the completion fundoplication is tailored to a length of 1 cm while anatomical stability is maintained with a long intraabdominal segment.

This article has been cited by other articles:

				O. A. Khan, G. Kanellopoulos, M. L. Field, K. R. Knowles, F. D. Beggs, W. E. Morgan, and J. P. Duffy Redo antireflux surgery--the importance of a tailored approach Eur. J. Cardiothorac. Surg., November 1, 2004; 26(5): 875 - 880. [Abstract] [Full Text] [PDF]

				C. Alexiou, D. Beggs, F. D. Salama, L. Beggs, and K. R. Knowles A tailored surgical approach for gastro-oesophageal reflux disease: the Nottingham experience Eur. J. Cardiothorac. Surg., April 1, 2000; 17(4): 389 - 395. [Abstract] [Full Text] [PDF]

				C. Alexiou, F.D. Salama, D. Beggs, E.T. Brackenbury, and K.R. Knowles Comparison of long-term results of total fundoplication gastroplasty and Belsey Mark IV antireflux operations in relation to the severity of oesophagitis Eur. J. Cardiothorac. Surg., March 1, 1999; 15(3): 320 - 326. [Abstract] [Full Text] [PDF]

				B. A. Jobe, K. D. Horvath, and L. L. Swanstrom Postoperative Function Following Laparoscopic Collis Gastroplasty for Shortened Esophagus Arch Surg, August 1, 1998; 133(8): 867 - 874. [Abstract] [Full Text] [PDF]