{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T02:35:59Z","timestamp":1785033359364,"version":"3.55.0"},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,11,27]],"date-time":"2013-11-27T00:00:00Z","timestamp":1385510400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003125","name":"Suomen Kulttuurirahasto","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003125","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The surgical outcome of fundoplication can be evaluated by means of esophagogastroduodenoscopy (EGDS). The literature reveals only one prior long\u2010term follow\u2010up series with endoscopic evaluation of the fundoplication wraps after laparoscopic Nissen fundoplication (LNF). The results achieved at a university clinic showed LNF to be more durable than open fundoplication (ONF). Previously, in our community\u2010based hospital, the results of ONF were somewhat poorer than those achieved at a university clinic. The objective of the present study was to describe the long\u2010term results of LNF in our hospital as regards surgical and symptomatic outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In 1997\u20131999, 107\u00a0LNFs were performed in our hospital. A questionnaire with symptom evaluation was mailed to all patients. The patients who agreed to participate were interviewed and underwent EGDS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 107 patients, 64 (59.8 %) participated in the study (40\u00a0men, mean age 61.9 years, range 28\u201385 years). The mean follow\u2010up time was 9.8 years. Seven endoscopic examinations (10.9 %) showed a defective fundic wrap; three of the patients had undergone reoperation. Fifty\u2010eight (90.6 %) patients had no or minimal heartburn and 61 (95.3 %) had no or minimal regurgitation. Twenty\u2010three (35.9 %) patients had moderate or severe dysphagia, and 43 (67.2 %) patients had moderate or severe flatulence. Fifty\u2010seven (89.1 %) patients would have opted for surgery again.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study contributes to the previous notion that LNF is associated with fewer surgical failures than ONF. Our results indicate that LNF can well be performed in a community\u2010based hospital with acceptable long\u2010term results.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-013-2349-2","type":"journal-article","created":{"date-parts":[[2013,11,26]],"date-time":"2013-11-26T14:37:40Z","timestamp":1385476660000},"page":"882-889","source":"Crossref","is-referenced-by-count":6,"title":["Endoscopic Evaluation of Laparoscopic Nissen Fundoplication: 89 % Success Rate 10 Years After Surgery"],"prefix":"10.1002","volume":"38","author":[{"given":"Perttu","family":"Neuvonen","sequence":"first","affiliation":[{"name":"Department of Surgery Sein\u00e4joki Central Hospital Hanneksenrinne 7 60220 Sein\u00e4joki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauri","family":"Iivonen","sequence":"additional","affiliation":[{"name":"Department of Surgery Kanta\u2010H\u00e4me Central Hospital Ahvenistontie 20 13530 H\u00e4meenlinna Finland"},{"name":"Department of Surgery Forssa 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