Abstract
The present paper evaluates the efficiency of Nissen fundoplication as an antireflux technique in a series of 51 patients with different grades of esophagitis. Follow-up time averaged 6.6 years. The evaluation includes a clinical assessment, endoscopic study, and 24-hr pH monitoring. The results reveal an acceptable rate of recurrences, with clinical (9.8%) being less frequent than endoscopic (13.7%) or pH-metric (19.6%) recurrences. Side effects appeared in 37.3% of the patients (mainly inability to belch or vomit, and postprandial fullness), which were mild and transitory in most cases. Nissen fundoplication proved effective in controlling long-term gastroesophageal reflux, as over 80% of the patients presented an excellent-to-good clinical situation, without or with minimal digestive consequences.
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Martinez De Haro, L.F., Ortiz, A., Parrilla, P. et al. Long-term results of nissen fundoplication in reflux esophagitis without strictures. Digest Dis Sci 37, 523–527 (1992). https://doi.org/10.1007/BF01307574
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DOI: https://doi.org/10.1007/BF01307574