An Anterior or Posterior Approach to a Partial Fundoplication? Long-Term Results of a Randomized Trial

Since laparoscopic techniques for antireflux surgery were first described 15 years ago, the surgical management of gastroesophageal reflux has undergone a renaissance. A heightened interest in outcomes has focused attention on technical modifications that aim to improve overall clinical outcomes, maximize control of reflux, and minimize the risk of side effects following surgery. This has led to the development of a variety of partial fundoplication procedures. Partial fundoplication variants can be broadly classified into one of two types—anterior or posterior—depending on where the fundus is positioned in relation to the esophagus.