Laparoscopic Nissen fundoplication is an effective procedure for the treatment of gastroesophageal reflux.
In some patients it is followed by troublesome side effects, such as dysphagia, abdominal bloating, and inability to belch.
It has been claimed that dividing the short gastric blood vessels during laparoscopic Nissen fundoplication minimizes the risk of these problems.
|Overall satisfaction was similar for both study groups|
|Annals of Surgery|
Dr Huiqi Yang and colleagues have previously reported the 6-month and 5-year outcomes from a randomized trial, which have shown no advantages after division of these vessels.
In this study, the team determined the 10-year outcomes from this trial.
The team assessed 102 patients with gastroesophageal reflux disease who underwent a laparoscopic Nissen fundoplication.
At 10-year follow-up, 88 patients provided clinical follow-up information.
Follow-up was obtained by telephone interview, conducted by an independent, and blinded investigator who applied a standardized questionnaire.
The researchers found no significant differences between the 2 groups at 10-year follow-up.
Heartburn, dysphagia, and overall satisfaction were similar for both study groups.
Dr Yang‘s team concluded, "The 10-year clinical outcomes from this trial have shown no benefit for division of the short gastric vessels during laparoscopic Nissen fundoplication."