{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T16:58:23Z","timestamp":1703609903885},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2008,2,4]],"date-time":"2008-02-04T00:00:00Z","timestamp":1202083200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2008,3]]},"abstract":"<jats:p>Anterior 90<jats:bold>\u00b0<\/jats:bold>partial fundoplication has been proposed as technique to minimize the risk of side\u2010effects following surgery for gastro\u2010oesophageal reflux. We have applied this approach for the treatment of gastro\u2010oesophageal reflux and\/or large hiatus hernias. Previous studies have shown that this type of procedure can achieve good control of reflux, with fewer side\u2010effects. However, only short\u2010term follow up has been reported. In this study, we determined later clinical outcomes in patients who have undergone this procedure. All patients who underwent a laparoscopic anterior 90<jats:bold>\u00b0<\/jats:bold>partial fundoplication surgery were identified from a database, which collected prospective clinical data. Patients completed a standardized questionnaire 3\u2003months after surgery and then yearly to assess clinical symptoms of reflux and postoperative side\u2010effects. Between February 1999 and January 2006, 246 patients underwent surgery \u2013 74 in conjunction with repair of a large hiatus hernia and 172 for reflux. Three patients underwent further surgery within 2\u2003days of the original procedure (one for repair of a perforated oesophagus) and four underwent later surgical revision (reflux 3, dysphagia 1). Clinical follow\u2010up data were available for 98% at 3\u201384\u2003months (median 36). Most patients had effective relief of reflux symptoms at up to 3\u2003years follow up. Dysphagia scores improved following surgery. The magnitude of this improvement was greater in patients with large hiatus hernias. More than 80% of the patients were able to belch normally at all time points after surgery and most were highly satisfied with the overall outcome. Satisfaction scores were higher following repair of a large hiatus hernia. The clinical results of laparoscopic anterior 90<jats:bold>\u00b0<\/jats:bold>fundoplication for either reflux or as part of repair of a large hiatus hernia are encouraging, although longer\u2010term follow up is required to confirm durability of reflux control.<\/jats:p>","DOI":"10.1111\/j.1445-2197.2007.04385.x","type":"journal-article","created":{"date-parts":[[2008,2,5]],"date-time":"2008-02-05T02:29:03Z","timestamp":1202178543000},"page":"123-127","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["LAPAROSCOPIC ANTERIOR 90\u00b0 FUNDOPLICATION FOR REFLUX OR LARGE HIATUS HERNIA"],"prefix":"10.1111","volume":"78","author":[{"given":"Mohammed J.","family":"Shukri","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David I.","family":"Watson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn J.","family":"Lally","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter G.","family":"Devitt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Glyn G.","family":"Jamieson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,2,4]]},"reference":[{"key":"e_1_2_5_2_2","first-page":"138","article-title":"Laparoscopic Nissen fundoplication: preliminary report","volume":"1","author":"Dallemagne B","year":"1991","journal-title":"Surg. 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