Abstract: Journal of Critical Care Research and Emergency Medicine

Abstract:
Laparoscopic Nissen-Rossetti fundoplication (LNRF) is a highly effective tratement for gastroesophageal reflux disease (GERD), based on objective evidence of reflux as the cause of ongoing symptoms. LNRF is a variation in the surgical technique where the short vessels are not ligated. This results in a shorter surgical time and less manipulation of structures. Over time, there has been ongoing discussion regarding whether this approach is the superior treatment compared to the conventional technique. True failures after antireflux surgery are uncommon, typically occurring within the first 2 years. Patients considering surgery are concerned about adequate control of reflux symptoms and the risk of adverse outcomes, including persistent troublesome side effects. Long-term follow-up scales, assessing symptoms like acid regurgitation, dyspepsia, dysphagia, and gas-bloat syndrome, have been designed.