Skip to main content
SpringerLink
Log in

The Nissen Fundoplication

  • Chapter
  • First Online:
Management of Gastroesophageal Reflux Disease

  • 508 Accesses

Abstract

The Nissen fundoplication is the most frequently performed antireflux procedure around the world. Technical details are important to prevent intraoperative complications and postoperative troublesome side-effects. If performed correctly the procedure, especially in the laparoscopic version, can be very effective and durable as antireflux therapy. After performing a technically correct fundoplication, an increased intragastric pressure will cause also a pressure increase within the fundic wrap. The wrap will have the ability to compress the distal esophagus helping to fulfill the task of an anti-reflux barrier. In addition, an increased intraabdominal pressure will create the similar effect. Therefore, an important technical prerequisite for a good result after a Nissen procedure is the anatomical reconstruction to ensure an intra-abdominal position of the sphincter as well as the symetric fundoplication. The first step is the dissection of the hiatus and the cardia. The second step is a sufficient mobilization of the esophagus in the mediastinum to position the LES in the abdominal pressure environment. The third step is the narrowing of the hiatus to an adequate width around the esophagus. The fourth important step is the shaping of the wrap. Each step is important in creating a functional good result with a long-lasting durability.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Nissen R. Eine einfache Operation zur Beeinflussung des Refluxösophagitis. Schweiz Med Wochenschr. 1956;86:590.

    CAS  PubMed  Google Scholar 

  2. Allison PR. Peptic ulcer of the oesophagus. Thorax. 1948;3(1):20–42.

    CAS  PubMed  PubMed Central  Google Scholar 

  3. Allison PR. Reflux esophagitis, sliding hernia and the anatomy of repair. Surg Gynecol Obstet. 1951;92:419–31.

    CAS  PubMed  Google Scholar 

  4. Skinner DB, Belsey RH. Surgical management of esophageal reflux and hiatus hernia. Long-term results with 1,030 patients. J Thorac Cardiovasc Surg. 1967;53(1):33–54.

    CAS  PubMed  Google Scholar 

  5. Allison PR. Hiatus hernia; a 20 year retrospective survey. Ann Surg. 1973;178:273–6.

    CAS  PubMed  PubMed Central  Google Scholar 

  6. DeMeester TR, Johnson LF, Kent AH. Evaluation of current operations for the prevention of gastroesophageal reflux. Ann Surg. 1974;180:511–25.

    CAS  PubMed  PubMed Central  Google Scholar 

  7. Stylopoulos N, Rattner DW. The history of hiatal hernia surgery: from Bowditch to laparoscopy. Ann Surg. 2005;241(1):185–93.

    PubMed  PubMed Central  Google Scholar 

  8. Walker SJ, Holt S, Sanderson CJ, Stoddard CJ. Comparison of Nissen total and Lind partial transabdominal fundoplication in the treatment of gastro-oesophageal reflux. Br J Surg. 1992;79(5):410–4.

    CAS  PubMed  Google Scholar 

  9. Donahue PE, Samelson S, Nyhus LM, Bombeck CT. The floppy Nissen fundoplication. Arch Surg. 1985;120:A1440.

    Google Scholar 

  10. DeMeester TR, Bonavina L, Abertucci M. Nissen fundoplication for gastro-esophageal reflux disease. Evaluation of primary repair in 100 consecutive patients. Ann Surg. 1986;204:19.

    Google Scholar 

  11. Dallemagne B, Weerts JM, Jehaes C, Markewicz S, Lombard R. Laparoscopic Nissen fundoplication: preliminary report. Surg Laparosc Endosc. 1991;1:138–43.

    CAS  PubMed  Google Scholar 

  12. Peters JH, DeMeester TR, Crookes P, Oberg S, de Vos Shoop M, Hagen JA, Bremner CG. The treatment of gastroesophageal reflux disease with laparoscopic Nissen fundoplication. Ann Surg. 1998;228(1):40–50.

    CAS  PubMed  PubMed Central  Google Scholar 

  13. Kamolz T, Granderath F, Pointner R. Laparoscopic antireflux surgery: disease-related quality of life assessment before and after surgery in GERD patients with and without Barrett’s esophagus. Surg Endosc. 2003;17:880–5.

    CAS  PubMed  Google Scholar 

  14. Patti MG, Robinson T, Galvani C, Gorodner MV, Fisichella PM, Way LW. Total fundoplication is superior to partial fundoplication even when esophageal peristalsis is weak. J Am Coll Surg. 2004;198:863–9.

    PubMed  Google Scholar 

  15. Fuchs KH. Conventional and minimally invasive surgical methods for gastro-esophageal reflux. Chirurg. 2005;76:370–8.

    PubMed  Google Scholar 

  16. Fuchs KH, Breithaupt W, Fein M, Maroske J, Hammer I. Laparoscopic Nissen repair: indications, techniques and long term benefits. Langenbeck’s Arch Surg. 2005;390:197–202.

    CAS  Google Scholar 

  17. Thor KB, Silander T. A long-term randomized prospective trial of the Nissen procedure versus a modified Toupet technique. Ann Surg. 1989;210(6):719–24.

    CAS  PubMed  PubMed Central  Google Scholar 

  18. Laws HL, Clements RH, Swillie CM. A randomized, prospective comparison of the Nissen fundoplication versus the Toupet fundoplication for gastroesophageal reflux disease. Ann Surg. 1997;225(6):647–53.

    CAS  PubMed  PubMed Central  Google Scholar 

  19. Fibbe C, Layer P, Keller J, Strate U, Emmermann A, Zornig C. Esophageal motility in reflux disease before and after fundoplication: a prospective, randomized, clinical, and manometric study. Gastroenterology. 2001;121:5–14.

    CAS  PubMed  Google Scholar 

  20. Dallemagne B, Weertz J, Markiewicz S, Dewandre JM, Wahlen C, Monami B, Jehaes C. Clinical results of laparoscopic fundoplication ten years after surgery. Surg Endosc. 2006;20:159–65.

    CAS  PubMed  Google Scholar 

  21. Fein M, Bueter M, Thalheimer A, Pachmayer V, Heimbucher J, Freys SM, Fuchs KH. Ten year outcome of laparoscopic antireflux procedures. J Gastrointest Surg. 2008;12:1893–9.

    CAS  PubMed  Google Scholar 

  22. Watson DI, Jamieson GG, Pike GK, Davies N, Richardson M, Devitt PG. Prospective randomized double blind trial between laparoscopic Nissen fundoplication and anterior partial fundoplication. Br J Surg. 1999;86:123–30.

    CAS  PubMed  Google Scholar 

  23. Watson DI, Jamieson GG, Ludemann R, Game PA, Devitt PG. Laparoscopic total versus anterior 180 degree fundoplication – Five year follow-up of a prospective randomised trial. Dis Esophagus. 2004;17(suppl 1):A 81,8.

    Google Scholar 

  24. Baigrie RJ, Cullis SNR, Ndhluni AJ, Cariem A. Randomized double-blind trial of laparoscopic Nissen fundoplication versus anterior partial fundoplication. Br J Surg. 2005;92:819–23.

    CAS  PubMed  Google Scholar 

  25. Ludemann R, Watson DI, Jamieson GG, Game PA, Devitt PG. Five-year follow up of a randomized clinical trial of laparoscopic total versus anterior 180 degrees fundoplication. Br J Surg. 2005;92(2):240–3.

    CAS  PubMed  Google Scholar 

  26. Spence GM, Watson DI, Jamieson GG, Lally CJ, Devitt PG. Single center prospective randomized trial of laparoscopic Nissen versus anterior 90 degrees fundoplication. J Gastrointest Surg. 2006;10:698–705.

    PubMed  Google Scholar 

  27. Engström C, Lonroth H, Mardani J, Lundell L. An anterior or posterior approach to partial fundoplication? Long-term results of a randomized trial. World J Surg. 2007;3:1221–5.

    Google Scholar 

  28. Guerin E, Betroune K, Closset J, Mehdi A, Lefebre JC, Houben JJ, Gelin M, Vaneukem P, El Nakadi I. Nissen versus Toupet fundoplication: results of a randomized and multicenter trial. Surg Endosc. 2007;21:1985–90.

    CAS  PubMed  Google Scholar 

  29. Strate U, Emmermann A, Fibbe C, Layer P, Zornig C. Laparoscopic fundoplication: Nissen versus Toupet two-year outcome of prospective randomized study of 200 patients regarding preoperative esophageal motility. Surg Endosc. 2008;22:21–30.

    CAS  PubMed  Google Scholar 

  30. Antanas M, Žilvinas E, Mindaugas K, Laimas J, Limas K, Almantas M, Juzonas P. Influence of wrap length on the effectiveness of Nissen and Toupet fundoplication: a prospective randomized study. Surg Endosc. 2008;22:2269–76.

    Google Scholar 

  31. Booth MI, Stratfford J, Jones L, Dehn TC. Randomized clinical trial of laparoscopic Nissen versus posterior partial Toupet fundoplication for GERD based on preoperative manometry. Br J Surg. 2008;95:57–63.

    CAS  PubMed  Google Scholar 

  32. Engström C, Lonroth H, Mardani J, Lundell L. An anterior or posterior approach to partial fundoplication? Long-term results of a randomized trial. World J Surg. 2007;31(6):1221–5.

    PubMed  Google Scholar 

  33. Shaw JM, Bornmann PC, Callanan MD, Beckingahm IJ, Metz DC. Long-term outcome of laparoscopic Nissen and laparoscopic Toupet fundoplication for gastroesophageal reflux disease: a prospective, randomized trial. Surg Endosc. 2010;24:924–32.

    PubMed  Google Scholar 

  34. Catarci M, Gentileschi P, Papi C, Carrara A, Marrese R, Gaspari AL, Grassi GB. Evidenced based appraisal of antireflux fundoplication. Ann Surg. 2004;239:325–37.

    PubMed  PubMed Central  Google Scholar 

  35. Neufeld M, Graham A. Levels of evidence available for techniques in antireflux surgery. Dis Esophagus. 2007;20:161–7.

    CAS  PubMed  Google Scholar 

  36. Davis CS, Baldea A, Johns JR, Joehl RJ, Fisichella PM. The evolution and long-term results of laparoscopic antireflux surgery for the treatment of gastroesophageal reflux disease. JSLS. 2010;14(3):332–41.

    CAS  PubMed  PubMed Central  Google Scholar 

  37. Fein M, Seyfried F. Is there a role for anything other than a Nissen’s operation? J Gastrointest Surg. 2010;14(suppl):S67–74.

    PubMed  Google Scholar 

  38. Broeders JAJL, Mauritz FA, Ahmed Ali U, Draaisma WA, Ruurda JP, Gooszen HG, Smout AJPM, Broeders IAMJ, Hazebroek EJ. Systematic review and metaanalysis of laparoscopic Nissen versus Toupet fundoplication for gastro-esophageal reflux disease. Br J Surg. 2010;97:1318–30.

    CAS  PubMed  Google Scholar 

  39. Tan G, Yang Z, Wang Z. Metaanalysis of laparoscopic total Nissen versus posterior Toupet fundoplication for GERD based on randomized clinical trials. ANZ J Surg. 2011;81:246–52.

    PubMed  Google Scholar 

  40. Stefanidis D, Hope WW, Kohn GP, Reardon PR, Richardson WS, Fanelli RD, SAGES Guideline Committee. Guidelines for surgical treatment of GERD. Surg Endosc. 2010;24:2647–69.

    PubMed  Google Scholar 

  41. Fuchs KH, Babic B, Breithaupt W, Dallemagne B, Fingerhut A, Furnee E, Granderath F, Horvath OP, Kardos P, Pointner R, Savarino E, Van Herwarden-Lindeboom M, Zaninotto G. EAES recommendations for the management of gastroesophageal reflux disease. Surg Endosc. 2014;28:1753–73.

    PubMed  Google Scholar 

  42. Koop H, Fuchs KH, Labenz J, Lynen-Jansen P, Messmann H, Miehlke S, Schepp W, Wenzl TG, Mitarbeiter der Leitliniengruppe. S2k-Leitlinie: Gastroösophageale Refluxkrankheit unter der Federführung der DGVS; AWMF-Register Nr. 021013. Z Gastroenterol. 2014;52:1299–346.

    PubMed  Google Scholar 

  43. Horvath KD, Jobe BA, Herron DM, Swanström LL. Laparoscopic Toupet fundoplication is an inadequate procedure for patients with severe reflux disease. J Gastrointest Surg. 1999;3:583–91.

    CAS  PubMed  Google Scholar 

  44. Morgenthal CB, Shane MD, Stival A, Gletsu N, Milam G, Swafford S, Hunter JG, Smith CD. The durability of laparoscopic Nissen fundoplication: 11-yeat outcome. J Gastrointest Surg. 2007;11:693–700.

    PubMed  Google Scholar 

  45. DeMeester TR. Etiology and natural history of gastroesophageal reflux disease and predictors of progressive disease. In: Yeo CJ, DeMeester SR, Fadden DWM, editors. Shackelford’s surgery of the alimentary tract. 8th ed. Philadelphia: Elsevier; 2019. p. 204–20.

    Google Scholar 

  46. Chew CR, Jamieson GG, Devitt PG, Watson DI. Prospective randomized trial of laparoscopic Nissen fundoplication with anterior versus posterior hiatal repair: late outcomes. World J Surg. 2011;35:2038–44.

    PubMed  Google Scholar 

  47. Patterson EJ, Herron DM, Hansen PD, Ramzi N, Standage BA, Swanstrom LL. Effect of an esophageal bougie on the incidence of dysphagia following Nissen fundoplication; a prospective, blinded, randomized clinical trial. Arch Surg. 2000;135(9):1055–61.

    CAS  PubMed  Google Scholar 

  48. Peillon C, Manouvrier JL, Labreche J, Kaeffer N, Denis P, Testart J. Should be vagus nerves be isolated from the fundoplication wrap? A prospective study. Arch Surg. 1994;129(8):814–8.

    CAS  PubMed  Google Scholar 

  49. Purdy M, Nykopp TK, Kainulainen S, Pääkkönen M. Division of the hepatic branch of the anterior vagus verve in fundoplication: effects on gallbladder function. Surg Endosc. 2009;23:2143–6.

    PubMed  Google Scholar 

  50. Van Rijn S, Roebroek YGM, Conchillo JM, Bouvy ND, Masclee AAM. Effect of vagus nerve injury on the outcome of antireflux surgery: an extensive literature review. Dig Surg. 2016;33:230–9.

    PubMed  Google Scholar 

  51. Frantzides CT, Madan AK, Carlson MA, Stavrpoulos GP. A prospective randomized trial of laparoscopic polytetrafluoroethylene (PTFE) patch repair vs simple cruroplasty for large hiatal hernia. Arch Surg. 2002;137(6):649–52.

    PubMed  Google Scholar 

  52. Granderath FA, Schweiger UM, Kamolz T, Asche KU, Pointner R. Laparoscopic Nissen fundoplication with prosthetic hiatal closure reduces postoperative intrathoracic wrap herniation: preliminary results of a prospective randomized functional and clinical study. Arch Surg. 2005;140:40–8.

    PubMed  Google Scholar 

  53. Rathore MA, Andrabi SIH, Bhatti MI, Najfi SMH, McMurray A. Metaanalysis of recurrence after laparoscopic repair of paraesophageal hernia. JSLS. 2007;11(4):456–60.

    PubMed  PubMed Central  Google Scholar 

  54. Soricelli E, Basso N, Genco A, Cipriano M. Long-term results of hiatal hernia mesh repair and antireflux laparoscopic surgery. Surg Endosc. 2009;23:2499–504.

    CAS  PubMed  Google Scholar 

  55. Oelschlager BK, Pellegrini CA, Hunter JG, Brunt ML, Soper NJ, Sheppard BC, Polisaar NL, Neradilek MB, Mitsumori LM, Rohrmann CA, Swanstrom LL. Biologic prosthesis to prevent recurrence after laparoscopic paraesophageal hernia repair: long-term follow-up from a multicenter, prospective, randomized trial. J Am Coll Surg. 2011;213:461–8.

    PubMed  Google Scholar 

  56. Watson DI, Thompson SK, Devitt PG, Smith L, Woods SD, Aly A, Gan S, Game PA, Jamieson GG. Laparoscopic repair of very large Hiatus hernia with sutures versus absorbable mesh versus nonabsorbable mesh: a randomized controlled trial. Ann Surg. 2015;261:282–9.

    PubMed  Google Scholar 

  57. Müller-Stich BP, Kenngott HG, Gondan M, Stock C, Linke GR, Fritz F, Nickel F, Diener MK, Gutt CN, Wente M, Büchler MW, Fischer L. Use of mesh in laparoscopic paraesophageal hernia repair: a meta-analysis and risk-benefit analysis. PLoS One. 2015;10(10):eO139547.

    Google Scholar 

  58. Arendt T, Stuber E, Monig H, Folsch UR, Katsoulis S. Dysphagia due to transmural migration of surgical material into the esophagus nine years after Nissen fundoplication. Gastrointest Endosc. 2000;51:607–10.

    CAS  PubMed  Google Scholar 

  59. Targarona EM, Bendahan G, Balague C, Garriga J, Trias M. Mesh in the hiatus a controversial issue. Arch Surg. 2004;139:1286–96.

    PubMed  Google Scholar 

  60. Stadlhuber RJ, Sherif AE, Mittal SK, Fitzgibbons RJ, Brunt LM, Hunter JG, DeMeester TR, Swanstrom LL, Smith CD, Filipi CJ. Mesh complications after prosthetic reinforcement of hiatal closure: a 28-case series. Surg Endosc. 2009;23:1219–26.

    PubMed  Google Scholar 

  61. Parker M, Bowers SP, Bray JM, Harris AS, Belli EV, Pfluke JM, Preissler S, Asbun HJ, Smith CD. Hiatal mesh is associated with major resection at revisional operation. Surg Endosc. 2010;24(12):3095–101.

    PubMed  Google Scholar 

  62. Koetje JH, Oor JE, Roks DJ, Van Westreenen HL, Hazebroek EJ, Nieuwenhuijs VB. Equal patient satisfaction, quality of life and objective recurrence rate after laparoscopic hiatal hernia repair with and without mesh. Surg Endosc. 2017;31(9):3673–80. https://doi.org/10.1007/s00464-016-5405-9.

    Article  PubMed  Google Scholar 

  63. Zhang C, Liu D, Li F, Watson DI, Gao X, Koetje JH, Luo T, Yan C, Du X, Wang Z. Systematic review and metaanalysis of laparoscopic mesh versus suture repair of hiatus hernia: objective and subjective outcomes. Surg Endosc. 2017;31(12):4913–22. https://doi.org/10.1007/s00464-017-5586-x.

    Article  PubMed  PubMed Central  Google Scholar 

  64. Oor JE, Roks DJ, Koetje JH, Broeders JA, van Westreenen HL, Nieuwenhuijs VB, Hazebroek EJ. Randomized clinical trial comparing laparoscopic hiatal hernia repair using sutures versus sutures reinforced with non-absorbable mesh. Surg Endosc. 2018;32(11):4579–89. https://doi.org/10.1007/s00464-018-6211-3.

    Article  PubMed  Google Scholar 

  65. Mattioli S, Lugaresi ML, Costantini M, Del Genio A, Di Martino N, Fei L, Fumagalli U, Maffettone V, Monaco L, Morino M, Rebecchi F, Rosati R, Rossi M, Sant S, Trapani V, Zaninotto G. The short esophagus: intraoperative assessment of esophageal length. J Thorac Cardiovasc Surg. 2008;136:1610.

    Google Scholar 

  66. Yano F, Stadlhuber K, Tsuboi J, Gerhard C, Filipi J, Mittal SK. Outcomes of surgical treatment of intrathoracic stomach. Dis Esophagus. 2009;22:284–8.

    CAS  PubMed  Google Scholar 

  67. DeMeester SR. Laparoscopic paraesophageal hernia repair: critical steps and adjunct techniques to minimize recurrence. Surg Laparosc Endosc Percutan Tech. 2013;23(5):429–35. https://doi.org/10.1097/SLE.0b013e3182a12716.

    Article  PubMed  Google Scholar 

  68. Champault G. Gastroesophageal reflux treatment by laparoscopy in 940 cases – French experience. Ann Chir. 1994;48:159–64.

    CAS  PubMed  Google Scholar 

  69. Fuchs KH, Feussner H, Bonavina L, Collard JM, Coosemans W. Current status and trends in laparoscopic antireflux surgery: results of a consensus meeting. The European Study Group dor Antireflux Surgery (ESGARS). Endoscopy. 1997;29:298–308.

    CAS  PubMed  Google Scholar 

  70. Dallemagne B, Weerts JM, Jehaes C, Markiewicz S. Results of laparoscopic Nissen fundoplication. Hepato-Gastroenterology. 1998;45:1338–43.

    CAS  PubMed  Google Scholar 

  71. Zaninotto G, Molena D, Ancona E. A prospective multicentre study on laparoscopic treatment of GERD in Italy: type of surgery, conversions, complications, and early results. Surg Endosc. 2000;14:282–8.

    PubMed  Google Scholar 

  72. Granderath FA, Kamolz T, Schweiger UM, Pointner R. Laparoscopic antireflux surgery for GERD: experience with 668 laparoscopic antireflux procedures. Int J Color Dis. 2003;18:73–7.

    Google Scholar 

  73. Gee DW, Andreoli ABA, Rattner DW. Measuring the effectiveness of laparoscopic antireflux surgery. Arch Surg. 2008;143:482–7.

    PubMed  Google Scholar 

  74. Anvari M, Allen C, Marshall J, Armstrong D, Goree R, Ungar W, Goldsmith C. A randomized controlled trial of laparoscopic Nissen fundoplication versus proton pump inhibitors for the treatment of patients with chronic gastrooesophageal reflux disease (GERD): 3 year outcomes. Surg Endosc. 2011;25(8):2547–54.

    PubMed  Google Scholar 

  75. Maret-Ouda J, Wahlin K, El-Serag HB, Lagergren J. Association between laparoscopic antireflux surgery and recurrence of gastroesophageal reflux. JAMA. 2017;318:939–46.

    PubMed  PubMed Central  Google Scholar 

  76. Watson DI, Baigrie RJ, Jamieson GG. A learning curve for laparoscopic fundoplication: definable, avoidable, or a waste of time? Ann Surg. 1996;224:198–203.

    CAS  PubMed  PubMed Central  Google Scholar 

  77. Champault GG, Barrat C, Rozon RC, Rizk N, Catheline JM. The effect of the learning curve on the outcome of laparoscopic treatment for gastroesophageal reflux. Surg Laparosc Endosc Percutan Tech. 1999;9(6):375–81.

    CAS  PubMed  Google Scholar 

  78. Salminen PTP, Hiekkanen HI, Laine H, Ovaska JT. Surgeons experience with laparoscopic fundoplication after early personal experience: does it have an impact on the outcome? Surg Endosc. 2007;21:1377–82.

    CAS  PubMed  Google Scholar 

  79. Tsuboi K, Gazallo J, Yano F, Filipi CJ, Mittal SK. Good training allows excellent results for laparoscopic Nissen fundoplication even early in the surgeon’s experience. Surg Endosc. 2010;24:2723–9.

    PubMed  Google Scholar 

  80. Spechler SJ, Lee E, Ahnen D, Goyal RK, Hirano I, Ramirez F, Raufman JP, Sampliner R, Schnell T, Sontag S, Vlahcevic ZR, Young R, Williford W. Long-term outcome of medical and surgical therapies for gastroesophageal reflux disease: follow-up of a randomized controlled trial. JAMA. 2001;285(18):2331–8.

    CAS  PubMed  Google Scholar 

  81. Bonatti H, Bammer T, Achem SR, Lukens F, DeVault KR, Klaus A, Hinder RA. Use of acid suppressive medications after laparoscopic antireflux surgery: prevalence and clinical indications. Dig Dis Sci. 2007;52:267–72.

    PubMed  Google Scholar 

  82. Madan A, Minoch A. Despite high satisfaction, majority of gastro-esophageal reflux disease patients continue to use PPI after antireflux surgery. Aliment Pharmacol Ther. 2006;23(5):601–5.

    CAS  PubMed  Google Scholar 

  83. Ciovica R, Riedl O, Neumayer C, Lechner W, Schwab GP, Gadenstätter M. The use of medication after laparoscopic antireflux surgery. Surg Endosc. 2009;23:1938–46.

    PubMed  Google Scholar 

  84. Alicuben ET, Bell RCW, Jobe BA, Buckley FP 3rd, Daniel Smith C, Graybeal CJ, Lipham JC. Worldwide experience with erosion of the magnetic sphincter augmentation device. J Gastrointest Surg. 2018;22(8):1442–7. https://doi.org/10.1007/s11605-018-3775-0.

    Article  PubMed  Google Scholar 

  85. Aiolfi A, Asti E, Bernardi D, Bonitta G, Rausa E, Siboni S, Bonavina L. Early results of magnetic sphincter augmentation versus fundoplication for gastroesophageal reflux disease: Systematic review and meta-analysis. Int J Surg. 2018;52:82–8. https://doi.org/10.1016/j.ijsu.2018.02.041.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. University of California San Diego, Center for the Future of Surgery, La Jolla, CA, USA

    Karl-Hermann Fuchs

  2. Agaplesion Markus Krankenhaus, Department of General and GI-Surgery, Frankfurt am Main, Germany

    Wolfram Breithaupt & Gabor Varga

Authors
  1. Karl-Hermann Fuchs
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Wolfram Breithaupt
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Gabor Varga
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. University of California, San Diego, Center for the Future of Surgery, La Jolla, CA, USA

    Santiago Horgan

  2. University of California, San Diego, Center for the Future of Surgery, La Jolla, CA, USA

    Karl-Hermann Fuchs

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Fuchs, KH., Breithaupt, W., Varga, G. (2020). The Nissen Fundoplication. In: Horgan, S., Fuchs, KH. (eds) Management of Gastroesophageal Reflux Disease. Springer, Cham. https://doi.org/10.1007/978-3-030-48009-7_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-48009-7_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-48008-0

  • Online ISBN: 978-3-030-48009-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation