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In the treatment of gastroesophageal reflux disease (GERD), anterior fundoplications are emphasized for their lower risk of complications compared to the posterior approach.
Dr Wieland Raue and colleagues from Germany evaluated the long-term results of laparoscopic anterior 180° fundoplication in consideration of quality of life and reflux control.
The research team identified 124 patients suffering from GERD underwent laparoscopic anterior 180° fundoplication.
After a mean follow-up of 52 months, 95 patients remained in the study.  | | 75% of patients reported that the operation was fully successful | | Digestive Surgery |
The success of reflux control and the quality of life were assessed using standardized questionnaires.
The research team found that 75% of patients reported that the operation was fully successful.
The team noted that 2% of patients had no clear opinion, while 22% of patients reported they were poorly or not satisfied.
Statistical evaluation of the questionnaires showed a clear difference in quality of life scores of patients who needed a continuous postoperative treatment for GERD compared to completely satisfied patients.
Dr Raue's team concludes, "The laparoscopic anterior 180° partial fundoplication for the treatment of GERD can result in satisfying reflux control in long-term outcome, but the postoperative quality of life is severely affected by the success of the treatment."
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