title: Functional evaluation at 1-year follow-up of laparoscopic Nissen-Rossetti fundoplication.
abstract: Laparoscopic Nissen fundoplication is currently the gold standard for surgical treatment of gastroesophageal reflux disease. The aim of this study was to present our experience with this procedure at 1 year of follow-up. Forty patients were operated on between January 2006 and July 2007, and 30 underwent a 24-hour postoperative pH-metry study. Ninety-two percent of the patients were asymptomatic at a follow-up of 12 months. All pH-metric parameters improved. DeMeester and Johnson's score was reduced from 44.7 to 7.75; endoscopy with histologic samples revealed the healing of esophagitis in all patients; 4 (13%) patients complained of dysphagia, which resolved within 1 month after surgery. Twenty-seven (90%) patients were completely satisfied by their surgical results. One year after surgery, 24-hour ph-metric results show that laparoscopic Nissen fundoplication can completely control acid reflux with relatively few complications and a high degree of patient satisfaction.
authors.affiliation: Department of General Surgery "F. Durante," Policlinico "Umberto I," University of Rome "Sapienza," Rome, Italy. filippo.tosato@uniroma.it
authors.forename: Filippo
authors.initials: F
authors.lastname: Tosato
authors.forename: Igor
authors.initials: I
authors.lastname: Monsellato
authors.forename: Salvatore
authors.initials: S
authors.lastname: Marano
authors.forename: Giacomo
authors.initials: G
authors.lastname: Leonardo
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Portale
authors.forename: Marcello
authors.initials: M
authors.lastname: Bezzi
mesh_terms: D000328:Adult; D000368:Aged; D050782:Esophageal pH Monitoring; D005260:Female; D005500:Follow-Up Studies; D018662:Fundoplication / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D016896:Treatment Outcome