Abstract
A laparoscopic total fundoplication is considered today the gold standard for the surgical treatment of gastroesophageal reflux disease (GERD). Short-term outcome is excellent, with low perioperative morbidity and fast recovery; symptom relief and reflux control are achieved in about 80–90 % of patients 10 years after surgery. However, a small but clinically relevant incidence of postoperative dysphagia and gas-related symptoms is reported. Debate still exists about the best antireflux operation and during the last two decades the surgical outcomes of laparoscopic partial fundoplication (anterior or posterior) have been compared to those achieved after a laparoscopic total fundoplication. This chapter reviews the results of partial and total fundoplication for the treatment of GERD in patients with normal esophageal motility.KeywordsGastroesophageal reflux diseaseTotal fundoplicationPartial anterior fundoplicationPartial posterior fundoplicationDysphagiaGas bloating
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