title: Technical controversies in fundoplication surgery.
abstract: Gastroesophageal reflux disease (GERD) is a common health problem affecting more than 50% of the population. For those who experience more than occasional symptoms, GERD has a profound effect on their quality of life. With the advent of laparoscopic surgery, fundoplication has been used to treat GERD. Fundoplication also is used in the surgical management of paraesophageal hernias. Technical controversies are addressed in this article, including open versus laparoscopic approaches, the choice of complete (360 degres) or partial fundoplication, whether or not a gastroplasty is required, and the use of prosthetic materials in crural repair.
authors.affiliation: University of Toronto, Toronto General Hospital, 10EN-228, 200 Elizabeth Street, Toronto, Ontario M5G 2C4, Canada. gail.darling@utoronto.ca
authors.forename: Gail
authors.initials: G
authors.lastname: Darling
authors.forename: Claude
authors.initials: C
authors.lastname: Deschamps
mesh_terms: D004945:Esophagoscopy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D018662:Fundoplication / Q000009:adverse effects / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000175:diagnosis / Q000601:surgery*; D015391:Gastroplasty / Q000379:methods*; D005773:Gastroscopy / Q000379:methods; D006551:Hernia, Hiatal / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D013677:Medical Laboratory Science; D011183:Postoperative Complications / Q000453:epidemiology; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D016896:Treatment Outcome