Presentation and outcomes of laparoscopic Nissen fundoplications

Abstract

<br><b>Introduction and aim:</b> Our study aimed to review the presentation and outcomes of LFNF in patients with gastroesophageal reflux disease (GERD).</br> <br><b>Material and method:</b> This study was conducted at the Florance Nigthingale Hospital, Istanbul, Turkey from January 2011 till August 2021. A total of 1840 (990 female, 850 male) patients underwent LFNF for GERD. Data including age, gender, coexisting diseases, presenting symptoms, duration of symptoms, time of surgery, intraoperative complications, postoperative complications, length of hospital stay, and perioperative mortality were retrospectively reviewed.</br> <br><b>Results:</b> The mean age was 42.11 0.31 years. Heartburn, regurgitation, hoarseness, and cough were the most common presenting symptoms. The mean symptom duration was 5.93 0.25 months. The number of reflux episodes > 5 min was 4.09 3. De Meester's score of the patients was measured as 32 17.8. The mean preoperative lower esophagus sphincter (LES) pressure was 9.2 1.4 mmHg and the mean postoperative LES pressure was 14.3 2.41 mmHg. The intraoperative complication rate was 1% and the postoperative complication rate was 1.6%. There was no mortality due to LFNF intervention.</br> <br><b>Conclusion:</b> As an anti-reflux procedure, LFNF is a safe and reliable option for patients with GERD.</br>