RT Book, Section A1 Ellison, E. Christopher A1 Zollinger, Robert M. SR Print(0) ID 1127272238 T1 FUNDOPLICATION, LAPAROSCOPIC T2 Zollinger's Atlas of Surgical Operations, 10e YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 978-0-07-179755-9 LK accesssurgery.mhmedical.com/content.aspx?aid=1127272238 RD 2024/04/16 AB Symptomatic gastroesophageal reflux disease is the most common indication for laparoscopic fundoplication using the floppy 360-degree Nissen technique. The clinical presentation and diagnostic workup are described in detail in Chapter 34. Repeated episodes of aspiration pneumonia or asthma triggered by reflux are significant indications. Intolerance to medical management with proton pump inhibitors, noncompliance with recommended medication regimens, and the cost of lifelong medications represent additional indications for this procedure.