Anterior 180° Partial Fundoplication: How I Do It

Piers Gatenby, Tim Bright, David Watson

    Research output: Contribution to journalArticle

    10 Citations (Scopus)

    Abstract

    Laparoscopic Nissen fundoplication is the standard operation for the surgical control of gastro-oesophageal reflux in many centres. However, in some patients, it can be followed by troublesome side effects, and to minimise the risk of these, partial fundoplications have been recommended. One approach is to construct an anterior 180° partial fundoplication. Randomised trials and a large outcome study have confirmed that in most patients, this approach achieves effective reflux control, as well as a reduced incidence of side effects. In this paper, we describe our approach to this procedure. The procedure entails full dissection of the oesophageal hiatus, hiatal repair with posteriorly placed sutures and then construction of an anterior 180° partial fundoplication using three sutures to attach the anterior gastric fundus to the oesophagus and right hiatal pillar, and two further sutures between the fundus and the apex of the hiatus.

    Original languageEnglish
    Pages (from-to)2297-2303
    Number of pages7
    JournalJournal of Gastrointestinal Surgery
    Volume16
    Issue number12
    DOIs
    Publication statusPublished - Dec 2012

    Keywords

    • Fundoplication
    • Gastroesophageal reflux
    • Laparoscopy

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