Modified Nissen fundoplication in the treatment of gastroesophageal reflux disease

Twenty-five consecutive patients underwent a primary modified Nissen fundoplication for gastroesophageal reflux disease. According to this procedure, an increase of the diameter of the gastric wrap to a comfortable passage of the surgeon's index finger between oesophagus and gastric wrap was ob...

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Bibliographic Details
Published inInternational surgery Vol. 78; no. 2; p. 112
Main Authors Tsimoyiannis, E C, Lekkas, E T, Berekos, K, Tsianos, E V
Format Journal Article
LanguageEnglish
Published Italy 01.04.1993
Subjects
Adult
Aged
Esophagus - surgery
Female
Gastric Fundus - surgery
Gastroesophageal Reflux - surgery
Humans
Male
Middle Aged
Postoperative Complications - epidemiology
Preoperative Care
Stomach - surgery
Suture Techniques
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Summary:Twenty-five consecutive patients underwent a primary modified Nissen fundoplication for gastroesophageal reflux disease. According to this procedure, an increase of the diameter of the gastric wrap to a comfortable passage of the surgeon's index finger between oesophagus and gastric wrap was obtained, while the length of the gastric wrap was 1.0 cm. The fixation of the wrap on the anterior wall of the oesophagus was done at the level of the mucosal cardia 1.0 cm above the gastroesophageal junction strengthened by four mesh pledgets. Two more stitches between the seromuscular layer of the gastric fundus and the oesophageal musculature were placed to prevent reduction of created oesophagogastric intussusception. The results of this modified Nissen procedure are excellent during the early postoperative follow-up period, ranging from 10 to 45 months and averaging 26 months.
ISSN:0020-8868