Laparoscopic floppy Nissen fundoplication: evaluation of outcome in 34 patients operated without prior oesophageal pH and manometry

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dc.contributor.authorPrasad, Dineshen_US
dc.contributor.authorKumar, Abhisheken_US
dc.contributor.authorModh, Foramen_US
dc.contributor.authorGehlot, Vishnuen_US
dc.contributor.authorKothari, Purvaen_US
dc.date.accessioned2020-11-18T10:05:38Z
dc.date.available2020-11-18T10:05:38Z
dc.date.issued2020-10
dc.description.abstractBackground: Aim of the study was to evaluate prospectively the outcomes of laparoscopic floppy Nissen fundoplication in cohort of patients with typical symptoms of gastroesophageal reflux disease (GERD) and hiatus hernia without pre-operative 24 hours oesophageal pH and manometry study. Methods: Thirty-four patients with typical symptoms of GERD, from March 2009 to November 2019, were studied. The study was limited to patients with positive findings on upper GI endoscopy done by operating surgeon with typical symptoms (heartburn, regurgitation, and dysphagia) of GERD and hiatal hernia. Laparoscopic Nissen’s fundoplication was performed when clinical assessment suggested adequate oesophageal motility and length. Only 1 patient, who had negative endoscopic findings, underwent a 24-hour pH-monitoring before surgery. Outcome measures included assessment of the relief of the primary symptom responsible for surgery in the early postoperative period; the patient's evaluation of outcome and quality of life after surgery.Result: Laparoscopic Nissen’s fundoplication is an effective long-term treatment for GERD and may be performed in patients with typical symptoms of GERD and hiatus hernia and endoscopic findings suggestive of reflux esophagitis and patient who wants to get rid of life long proton-pump inhibitors (PPI) and antacids medication.Conclusions: Preoperative oesophageal manometry and 24-hour pH monitoring are not mandatory for laparoscopic fundoplication if the patient selection is appropriate but may be required in selected patients with atypical symptoms.en_US
dc.identifier.affiliationsDepartment of General Surgery, SMIMER Hospital and medical college, Surat, Gujrat, Indiaen_US
dc.identifier.citationPrasad Dinesh, Kumar Abhishek, Modh Foram, Gehlot Vishnu, Kothari Purva. Laparoscopic floppy Nissen fundoplication: evaluation of outcome in 34 patients operated without prior oesophageal pH and manometry. International Surgery Journal. 2020 Oct; 7(10): 3299-3304en_US
dc.identifier.issn2349-3305
dc.identifier.issn2349-2902
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/213386
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber10en_US
dc.relation.volume7en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-2902.isj20204126en_US
dc.subjectGERDen_US
dc.subjectLaparoscopic floppy Nissen fundoplicationen_US
dc.subjectHiatus herniaen_US
dc.subjectOesophageal pH and manometryen_US
dc.titleLaparoscopic floppy Nissen fundoplication: evaluation of outcome in 34 patients operated without prior oesophageal pH and manometryen_US
dc.typeJournal Articleen_US
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