PMID: 26767901Jan 16, 2016Paper

Surgery of the hiatal hernia and gastroesophageal reflux dinase, Nissen or Toupet?

Rozhledy v chirurgii : měsíčník Československé chirurgické společnosti
M Kasalický, E Koblihová

Abstract

In 2016 60 years will have elapsed from the first publication by Nissen about his surgical method of 360° fundoplication around distal esophagus and its final effect. Nissens fundoplication is currently the most common surgical method for the gastroesophageal reflux (GER) and hiatal hernia (HH) probably. Incidence of HH ranges between 25-50% in the western population. Current prevalence of GER ranges between 4-10% in Europe and 5-7% in North America, but some studies report even 10-20%. From 2010 to 2015, 157 laparoscopic procedures for HH or gastroesophageal reflux disease (GERD) were done at the Department of Surgery, the Second Faculty of Medicine, Charles University and Central Military Hospital in Prague. Most of the patients were operated because of symptomatic HH with/without GERD. Only very few patients were operated only for GERD without HH. The group of the patients included 73 men and 84 women with the mean age 53.9 years in the range 20-88 years. 11 patients of the group were operated because of the upside-down stomach syndrome. 109 (69.4%) patients underwent Nissens 360° fundoplication (NFP) and 48 (30.6%) patients underwent Toupets 270° fundoplication (TFP). The patients were followed after 3 month, 6 month, 12 mo...Continue Reading

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