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Persistent dysphagia rate after antireflux surgery is similar for Nissen fundoplication and partial fundoplication

Journal of Surgical Research Jan 31, 2019

Walle KV, et al. - Researchers explored the risk factors for persistent postoperative dysphagia among patients who underwent laparoscopic Nissen, Toupet, or Dor fundoplication for treatment of gastroesophageal reflux disease (GERD). Using a single-institutional database, they identified 441 patients who met inclusion criteria, 255 had ≥1 y of follow-up (57.8%). In this cohort, Nissen fundoplication was performed on 45.1% of patients and partial fundoplication was performed on 54.9%. Outcomes revealed that 25.9% (n = 66) of patients experienced persistent postoperative dysphagia that did not differ by the type of fundoplication. This indicates that for an antireflux operation, both Nissen and partial fundoplication are reasonable choices for properly selected patients.
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