ORIGINAL ARTICLES   

Chirurgia 2000 June;13(3):147-50

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: Italian

A critical review of gastroesophageal reflux surgery

Molizzi T. C., Miceli F., Rubino P., Daffinà R., De Maria V., Folino G., Miceli R.

Background. The authors made a critical review of gastro-esophageal reflux surgery in which they examine the wide variety of surgical techniques used to correct gastroesophageal flow.
Methods. The authors make a detailed review of international literature to evaluate the goals set by the surgeon in order to guarantee a successful outcome and the different surgical techniques that are most widely used. The latter are compared in order to highlight their particular characteristics and the results obtained by different authors. This serves to highlight a number of unique techniques and valid results that should be borne in mind during clinical practice.
Results. Given that a wide range of surgical techniques are proposed and used to correct gastroesophageal reflux, the authors felt that it was worthwhile identigying the state of the art of this form of surgery.
Conclusions. Hving made a critical review of international literature the authors conclude that the majority of surgeons prefer to choose between ore or two forms of surgery: total fundoplication according to Nissen and partial fundoplication according to Toupet. Both techniques produce comparable short and medium-term results. However, Nissen's technique offers a better long-term guarantee, despite its association with a higher incidence of collateral effects.