XXXX after laparoscopic total fundoplication: anterior or posterior gastric wall fundoplication?

@entity1 @entity354 @entity86 @entity1282
CONTEXT: The occurrence of severe @entity1282 after laparoscopic total fundoplication is currently an important factor associated with loss of quality of life in @entity1 undergoing this modality of treatment for @entity354 . OBJECTIVES: Compare the incidence and evaluate the causes of severe @entity86 in @entity1 undergoing laparoscopic total fundoplication (LTF) without short gastric vessels division, using the anterior gastric wall (Rossetti LTF) or anterior and posterior gastric walls (Nissen LTF). METHODS: Analysis of the data of 289 @entity1 submitted to LTF without short gastric vessels division from January 2004 to January 2012, with a minimum follow-up of 6 months. @entity1 were divided in Group 1 (Rossetti LTF - n = 160) and Group 2 (Nissen LTF - n = 129). RESULTS: The overall incidence of severe @entity86 was 3.11% (4.37% in group 1 and 1.55% in group 2; P = 0.169). The need for surgical treatment of @entity1282 was 2.5% in group 1 and 0.78% in group 2 (= 0.264). Distortions of the fundoplication were identified as possible causes of the @entity1282 in all @entity1 taken to redo fundoplication after Rossetti LTF. No wrap distortion was seen in redo fundoplication after Nissen LTF. CONCLUSIONS: The overall incidence of severe @entity86 did not differ on the reported techniques. Only Rossetti LTF was associated with structural distortion of the fundoplication that could justify the @entity1282 .
