title: Randomized trial of total fundoplication and fundal mobilization with or without division of short gastric vessels: a short-term clinical evaluation.
abstract: OBJECTIVE
  Evaluate short results after fundoplication procedure, concerning the division of short gastric vessels.
  
  
  METHODS
  A prospective randomization of 90 patients with indication for hiatoplasty and total fundoplication with fundus mobilization was performed. They were divided into two groups: no SGV division (group A, n= 46) and with SGV division (Group B, n=44), although in both groups the gastric fundus was mobilized to perform a floppy valve. Early outcome with clinical follow up (1 year) was observed.
  
  
  RESULTS
  Both groups were similar regarding preoperative parameters and severity of gastroesophageal reflux disease (GERD). No difference in morbidity was observed during hospital stay. Nevertheless, the median operating time was 80,2 minutes in group A and 94,1 minutes (p=0,021) in Group B. Transitory dysphagia during the first year was significantly lower in group B (46,6% versus 23,2%, p=0,012). However, in 12 months clinical outcome was similar in both groups (clinical symptoms of GERD, persistent dysphagia and reoperations).
  
  
  CONCLUSIONS
  There was no improvement in routine division of SGV in total fundoplication procedure when the gastric fundus was mobilized.
authors.affiliation: Department of Surgery, UNIFES, São Paulo, Brazil. josefarah@einstein.br
authors.forename: José Francisco de Mattos
authors.initials: JF
authors.lastname: Farah
authors.forename: José Carlos Del
authors.initials: JC
authors.lastname: Grande
authors.forename: Alberto
authors.initials: A
authors.lastname: Goldenberg
authors.forename: Júlio César
authors.initials: JC
authors.lastname: Martinez
authors.forename: Renato Arione
authors.initials: RA
authors.lastname: Lupinacci
authors.forename: Jacques
authors.initials: J
authors.lastname: Matone
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D018662:Fundoplication / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013270:Stomach / Q000098:blood supply*; D016896:Treatment Outcome