RT Book, Section
A1 Hunter, John G.
A1 Spight, Donn H.
A1 Sandone, Corinne
A1 Fairman, Jennifer E.
SR Print(0)
ID 1162530145
T1 Total (Nissen) Fundoplication
T2 Atlas of Minimally Invasive Surgical Operations
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071449052
LK accesssurgery.mhmedical.com/content.aspx?aid=1162530145
RD 2023/10/01
AB Laparoscopic  total  or  Nissen  fundoplication  is  indicated  for  individuals  with  gastroesophageal  reflux  disease  (GERD)  that  meets  one  of  the  following  criteria:  (1)  GERD  that  is  refractory  to  proton  pump  inhibition,  (2)  GERD  that  is  incompletely  responsive  to  proton  pump  inhibition,  (3)  GERD  that  is  entirely  responsive  to  proton  pump  inhibition,  but  patient  choice  or  side  effect  profile  merits  consideration  of  antireflux  surgery,  (4)  extraesophageal  manifestations  of  GERD,  and  (5)  complications  of  GERD  (stricture,  bleeding,  aspiration,  Barrett  esophagus).  Of  these  criteria,  the  patients  who  are  most  likely  to  achieve  complete  symptom  relief  are  those  who  are  responsive  to  medical  therapy,  who  have  esophageal  symptoms  of  reflux  (heartburn,  regurgitation,  chest  pain),  and  those  with  a  strongly  positive  pH  study  (see  later  discussion).