title: Laparoscopic total fundoplication for gastroesophageal reflux disease. How I do it.
abstract: BACKGROUND
  A laparoscopic fundoplication is considered today the procedure of choice for the treatment of gastroesophageal reflux disease (GERD).
  
  
  CONCLUSIONS
  Several eponyms are used in the literature to denote different antireflux operations: Nissen, Nissen-Rossetti, Toupet, Lind, Guarner, Hill, and Dor. We feel that it is more important to focus on the technical elements which make a fundoplication effective and long lasting. The type of fundoplication (total vs. partial) is tailored to the quality of esophageal peristalsis as documented by the preoperative manometry. In the USA, a partial fundoplication is chosen only for patients with very impaired or absent esophageal peristalsis.
  
  
  CONCLUSIONS
  This article describes the technique of laparoscopic total fundoplication for GERD. Partial fundoplication is performed following the same technical elements as the total fundoplication. A 240° to 270° wrap rather than a 360° wrap is performed.
authors.affiliation: Department of Surgery and Center for Esophageal Diseases, University of Chicago Pritzker School of Medicine, 5841 S. Maryland Ave, MC 5095, Room G-207, Chicago, IL 60637, USA.
authors.forename: Marco E
authors.initials: ME
authors.lastname: Allaix
authors.forename: Fernando A
authors.initials: FA
authors.lastname: Herbella
authors.forename: Marco G
authors.initials: MG
authors.lastname: Patti
mesh_terms: D018662:Fundoplication / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*