The technique of laparoscopic Nissen fundoplication

F. Raiser, R. A. Hinder, P. J. McBride, N. Katada, Charles Filipi

Research output: Contribution to journalReview articlepeer-review

10 Scopus citations


Patients with severe GERD resistant to medical therapy are benefited greatly by laparoscopic fundoplication provided that there is careful preoperative patient selection and evaluation. Preoperative evaluation should include contrast esophagography, EGD with biopsies, stationary manometry, and 24-hour pH analysis. Significant esophageal shortening or severe dysplasia are contraindications to laparoscopic fundoplication. A short, loose Nissen fundoplication should be performed in patients with adequate esophageal body function, whereas patients with esophageal dysmotility should be offered a partial fundoplication such as the Toupet procedure. If these guidelines are followed, long-term good results can be expected, with minimal complications, and all of the advantages of the minimally invasive approach.

Original languageEnglish
Pages (from-to)437-448
Number of pages12
JournalChest Surgery Clinics of North America
Issue number3
StatePublished - 1995

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine


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