Nissen Fundoplication for Gastroesophageal Reflux Disease

In a prospective study, the Nissen fundoplication was shown to be superior to both the Belsey and Hill procedure in the control of reflux symptoms and in the restoration of distal esophageal sphincter competence [2]. Despite these excellent early results, concern was expressed regarding the durability and long-term side effects of this operation. The purpose of this study was to evaluate the results of 100 consecutive primary Nissen fundoplication procedures performed and followed by the same surgeon over a 13-year period. The findings advanced our understanding of the criteria for patient selection, the technique of constructing the fundoplication, and the durability of the Nissen procedure.