Open Nissen fundoplication and XXXX as a treatment for @entity354 .

@entity1 @entity1282 @entity354 @entity2798
BACKGROUND: Open Nissen fundoplication has been the most common surgical treatment of @entity354 ( @entity354 ). The present paper describes the symptomatic result, and quantifies the acid reduction achieved by open Nissen fundoplication combined with @entity2798 ( @entity2798 ) in a consecutive case series. METHODS: A study of 106 @entity1 undergoing open Nissen fundoplication and @entity2798 for @entity354 was performed between 1988 and 1996. A history consistent with reflux was obtained and the diagnosis confirmed with ambulatory oesophageal pH studies and endoscopy. Postoperative pH studies were performed, and peri-operative and late complications were recorded. A standard questionnaire was sent out to @entity1 postoperatively to assess the efficacy of surgery. RESULTS: Pre-operative pH studies were performed on 104 (98%) @entity1 , and on 97 (91.5%) following surgery. There was a highly significant improvement in all parameters of the pH study postoperatively. All symptoms, including bloating and @entity1282 , improved significantly postoperatively, except flatulence, which was exacerbated. The majority of @entity1 were very satisfied with their outcome, 82% rating the operation from 80 to 100% successful. Complications were rare and there was no mortality. CONCLUSIONS: Open Nissen fundoplication and @entity2798 is an effective method of treating @entity354 , producing an improvement in symptoms and in ambulatory pH studies.
