{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T15:08:13Z","timestamp":1784041693282,"version":"3.55.0"},"reference-count":38,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Partial fundoplication is the most common surgical treatment for gastroesophageal reflux disease (GERD). Our preferred technique is a symmetrical anterior\u2013posterior partial (300\u00b0) fundoplication created along the natural axis of the stomach, leaving the bare area on the esophagus along the lesser curvature. We assessed perioperative and long-term outcomes of this technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed records of all patients who underwent primary elective antireflux surgery by a single foregut surgeon from September 2016 to December 2024. Non-primary and emergency procedures and other techniques (such as Dor) were excluded. Perioperative complications, hiatal hernia recurrence, patient-reported outcomes (PROMs), and patient satisfaction were assessed for up to 7\u00a0years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified 355 patients (254 [71.5%] women; median age, 64\u00a0years) who underwent primary antireflux surgery (laparoscopic [79.2%], robotic [20.6%], and conversion [0.3%]). The median operative time, estimated blood loss, and length of stay were 90\u00a0min (IQR 70\u2013110), 25\u00a0mL (IQR 10\u201325), and 1\u00a0day (IQR 1\u20132). Severe complications (Clavien\u2013Dindo grade\u2009\u2265\u2009III) occurred in 3 (0.8%) patients. There was no 90-day mortality. GERD health-related quality of life (GERD-HRQL) questionnaires and\/or objective assessment using barium esophagram or upper GI endoscopy were completed by 222\/355 (62.5%), 134\/322 (41.6%), 56\/267 (21.0%), 43\/166 (25.9%), and 19\/90 (21.1%)\u00a0patients at 1, 2, 3, 5, and 7\u00a0years, respectively. The median total GERD-HRQL scores improved from 32 (IQR 13\u201346) preoperatively to 1 (IQR 0\u20134), 2 (IQR 0\u20137), 2 (IQR 0\u201312), 1 (IQR 0\u20136), and 5 (IQR 1\u201324) at 1, 2, 3, 5, and 7\u00a0years, respectively. Over 7\u00a0years, objective HH recurrence occurred in 22 patients (\u2265\u20092\u00a0cm in 5 patients).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Symmetrical anterior\u2013posterior partial fundoplication is safe and effective, providing sustainable relief from GERD symptoms with high patient satisfaction reported up to 7\u00a0years. Interpretation of these promising results is limited by the small number of patients with extended follow-up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00464-026-12945-9","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T16:12:18Z","timestamp":1781885538000},"page":"6281-6292","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Symmetrical anterior\u2013posterior partial fundoplication: technique and outcomes"],"prefix":"10.1007","volume":"40","author":[{"given":"Hideyuki","family":"Takeuchi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3401-8623","authenticated-orcid":false,"given":"Andr\u00e9s R.","family":"Latorre-Rodr\u00edguez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Cusmai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8681-968X","authenticated-orcid":false,"given":"Arianna","family":"Vittori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2760-3891","authenticated-orcid":false,"given":"Sumeet K.","family":"Mittal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"12945_CR1","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1007\/s11605-020-04831-z","volume":"25","author":"MK Johnson","year":"2021","unstructured":"Johnson MK, Venkatesh M, Liu N, Breuer CR, Shada AL, Greenberg JA, Lidor AO, Funk LM (2021) pH impedance parameters associated with improvement in GERD health-related quality of life following anti-reflux surgery. 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H.T. and L.C. have no conflicts of interest or financial ties to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}