Reflux and Belching after Laparoscopic 270 degree Posterior Versus 180 degree Anterior Partial Fundoplication

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
J E OorEric J Hazebroek

Abstract

Laparoscopic 270 degree posterior, or Toupet (LTF), and 180 degree anterior partial fundoplication (LAF) ensure equal reflux control and reduce the risk of gas-related symptoms compared to 360 degree (Nissen) fundoplication. It is unclear which type of partial fundoplication is superior in preventing gas-related side-effects. The aim of this study was to determine differences in effect of LTF and LAF on reflux characteristics and belching patterns. Upper gastrointestinal endoscopy, esophageal manometry, and 24-h combined pH-impedance monitoring were performed before and 6 months after fundoplication (n = 10, LTF vs. n = 10, LAF). Observed changes after surgery (∆) were compared between the two procedures. Symptomatic reflux control as well as the reduction in the mean number of acid (∆ - 58.5 vs. - 66.5; P = 0.912), liquid (∆ - 17.0 vs. - 43.5; P = 0.247), and mixed liquid gas reflux episodes (∆ - 38.0 vs. - 40.0; P = 0.579) were comparable following LTF and LAF. There were no differences in the mean number of weakly acidic reflux episodes after LTF and LAF (1.0 (0.8-4) vs. 1.0 (0-3), P = 0.436). The reduction in proximal (P = 1.000), mid-esophageal (P = 0.063), and distal reflux episodes (P = 0.315) was comparable. Both proced...Continue Reading

References

Jan 1, 1991·The British Journal of Surgery·D SmithF C Campbell
Apr 14, 1999·The British Journal of Surgery·L RydbergL Lundell
Aug 22, 2001·The American Journal of Gastroenterology·J W StraathofA A Masclee
Jun 27, 2003·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·J M BlazebyUNKNOWN European Organisation for Research and Treatement of Cancer Gastrointestinal and Quality of Life Groups
Apr 13, 2004·Annals of Surgery·Marco CatarciGiovanni Battista Grassi
Dec 17, 2004·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·A J BredenoordA J P M Smout
Aug 27, 2005·Gut·A J BredenoordA J P M Smout
Jul 5, 2006·The American Journal of Gastroenterology·Albert J BredenoordAndré J P M Smout
May 21, 2009·The American Journal of Gastroenterology·Gerrit J M HemminkAndré J P M Smout
Jan 5, 2011·Gut·J A J L BroedersA J P M Smout
Dec 15, 2011·Annals of Surgery·Joris A BroedersAndré J Smout
Jul 7, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Piers A C GatenbyDavid I Watson
Sep 11, 2012·The British Journal of Surgery·C EngströmD I Watson
Mar 20, 2015·Surgical Endoscopy·Boudewijn F KessingAndré J P M Smout
Apr 14, 2016·The American Journal of Gastroenterology·Thomas V K HerregodsAndré J P M Smout

❮ Previous
Next ❯

Citations

Feb 28, 2020·Khirurgiia·D A DanilovaL I Gorbunova
Sep 3, 2020·Annals of the New York Academy of Sciences·Samuel P BantingHiroshi Mashimo
Jan 25, 2020·Current Treatment Options in Gastroenterology·M Zad, A J Bredenoord
Oct 24, 2020·Journal of Clinical Medicine·Akinari SawadaDaniel Sifrim

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.