Abstract
With the aim of optimising the outcome of antireflux surgery, the surgeon has to perform and master a delicate act of balance on the choice between various fundoplication procedures. On one hand we have the total fundoplication with its proved efficacy regarding reflux control but with it associated mechanical side-effects leading to symptoms relating to the relative obstruction in the gastroesophageal junction and the inability to vent air from the stomach and the sequelae that follow. The posterior partial fundoplication has obvious advantages with less postfundoplication complaints without compromising with the level of reflux control and can therefore be generally recommended. Some anterior partial fundoplication present very promising results but confirmative studies are warranted.
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