HYPOTHESIS Gastroesophageal reflux (GER) is a common condition in childhood that frequently requires operative treatment. The 360 degrees Nissen fundoplication (NF) has been the standard operation for GER, but is associated with substantial rates of recurrence, "gas bloat," gagging, and dysphagia. I believe that the Toupet fundoplication (TF), a 270 degrees posterior wrap originally described i...

BACKGROUND The recurrence of the gastroesophageal reflux disease may be related to later postoperative weight gain, therefore increasing the chances of developing columnar metaplasia and cancer. The gastric plication associated with fundoplication can be employed in order to be treating the two issues. AIM To evaluate the serum ghrelin hormone in pre and postoperatively as well as weight loss...

Gastro esophageal reflux disease (GERD) is the most common gastrointestinal disorder and often is associated with hiatal hernia (HH). Nissen fundoplication is the most common surgical treatment method. Despite surgical treatment, recurrence rate is still high. In this study, we aimed to identify the importance of the mesh shape in preventing recurrence after Nissen fundoplication. A hundred twe...

BACKGROUND A 360 degrees or Nissen fundoplication remains controversial in patients with disordered peristalsis, some surgeons preferring a partial wrap to minimise postoperative dysphagia. AIM To evaluate symptoms and manometric outcome in patients with disordered peristalsis after Nissen fundoplication. PATIENTS In an initial series of 345 patients studied prospectively, 31 patients who h...

conclusions our study showed that laparascopic helermyotomy with dor fundoplication result in significant relief of dysphagia. overall clinical symptoms indicate improvement in patient functional status during 18-month follow-up. patients and methods thirty patients who underwent heller myotomy for achalasia via laparoscopy in alzahra hospital isfahan, iran were recorded prospectively (2009 - 2...

Abstract Achalasia is a primary defect of esophageal motility unknown aetiology, characterised by peristaltic dysfunction the esophagus and impaired relaxation lower sphincter. The most common symptoms are dysphagia, regurgitation, weight loss, chest burning. There various treatment options for achalasia: botulinum toxin injections, pneumatic dilatation, Heller myotomy, peroral endoscopic myoto...

Gastroesophageal reflux disease (GERD) is a chronic on spectrum that has an array of management options ranging from lifestyle changes, acid suppressive therapy to laparoscopic anti-reflux surgery (LARS). Transoral incisionless fundoplication (TIF) endoscopic procedure in the GERD re-establishes and augments gastroesophageal flap valve (GEFV). TIF appropriate for patients do not have hiatal her...

Abstract Background An emergency presentation with a hiatal hernia tends to be life-threatening high associated mortality rate. Operative management aims reduce the herniated stomach, dissect hernial sac and reapproximate crura. This will often followed by fundoplication or gastropexy risk of recurrence. study compares recurrence rates between patients who underwent gastropexy. Methods Over 8 y...

conclusions a significant number of patients would benefit from surgical therapy to treat their gerd symptoms, but some incorrect beliefs still misguide the indications for the surgical procedure. results our review showed that: (a) the mortality rate of the surgical procedure is negligible and ppi therapy is also accompanied with mortality; (b) there is a 5% chance of severe dysphagia after an...