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TITLE:

NARRATIVE REVIEW ON NISSEN FUNDOPLICATION PROCEDURE

AUTHORS:

Zainab Mohammad A Alsinan, Khalid Khader M Alzaylaee, Sultan Mahdi Alqarni

ABSTRACT:

Gastroesophageal reflux disease is a frequent disease that impacts many individuals in the contemporary period. Treatment for gastroesophageal reflux disease can be medical or surgical. In this review we discuss the surgical fundoplication surgery, indications, techniques and complications. We conducted a narrative review of electronic databases as; (PubMed, Medline, and EMBASE). During the first stage the above databases were searched using the following search criteria. The PubMed database was searched using the MeSH (Medical Subject Headings) term; “Nissen fundoplication procedure”, “Gastroesophageal reflux”. GERD is a chronic disease that impairs physical and emotional well-being resulting in lowered quality of life. Initial therapy includes lifestyle adjustments and medical therapy, with antireflux medicines. There are various types of anti-reflux procedures that have been quite effective in treating GERD and bring back competence in an otherwise inexperienced LES, while at the same time repairing a possible hiatal hernia. Laparoscopic Nissen fundoplication (LNF) is the gold requirement for medical treatment of severe GERD and leads to roughly 95% patient satisfaction. The LNF uses minimally invasive methods to completely dissect the esophageal hiatus and activate the gastroesophageal junction and esophagus; reduce the herniated gastroesophageal joint, cardia, and body back right into the normal abdominal position; close the hiatal problem; divide the short gastric vessels to enable total mobilization of the gastric fundus; and a 360% fundoplication not under stress.

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