Laparoscopic Antireflux Surgery: A Comparative Analysis of Partial and Total Fundoplication

Description

Aim of the present study was to evaluate advantages of 270° partial posterior fundoplication (PPF) compared with traditional total fundoplication (TF). Methods: Study included 90 patients with GERD at El-Minia University Hospital between January 2019 and January 2023, divided randomly into group A: PPF (No. 45 patients) and group B: TF (No. 45 patients). All included patients had endoscopic hiatal hernia and various degrees of esophagitis. Postoperative follow-up included satisfaction questionnaire, degree of heartburn questionnaire, frequent belching, inability to belch, bloating, diarrhea, vomiting, abdominal pain and endoscopic evaluations. Results: Heartburn improved in all patients (p = 0.000). Shorter operative time was observed in group B (p = 0.007). No significant difference in overall satisfaction level between the two groups (p = 0.5). Conclusion: Surgical treatment is favorite option for treatment of GERD. PPF can be safely used with outcomes similar to that of TF, but with shorter operative time.