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Title of Journal: J Gastrointest Surg

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Abbravation: Journal of Gastrointestinal Surgery

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Springer US

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10.1016/0268-9499(88)90410-9

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1873-4626

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Tricomparison of Laparoscopic Nissen Hill and N

Authors: Andreas M Schneider Ralph W Aye Candice L Wilshire Alexander S Farivar Brian E Louie
Publish Date: 2016/11/03
Volume: 21, Issue: 3, Pages: 434-440
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Abstract

A randomized controlled trial RCT showed that laparoscopic Nissen fundoplication LNF and Hill LHR repairs are equivalent in treating uncomplicated GERD We combined both repairs to create a laparoscopic NissenHill Hybrid repair HYB The purpose of this study is to compare clinical and objective outcomes of a matched group of HYB to the two cohorts of the RCTA retrospective analysis of prospectively collected data from the RCT and a prospectively collected data base was performed Data were collected preoperatively postoperatively shortterm ST at 6 weeks and midterm MT at 6–12 months Evaluation was standardized according to the RCT and included three quality of life metrics QOLRAD GERDHRQL Dysphagia endoscopy manometry pH testing and barium swallowThere were 51 HYB 46 LNF and 56 LHR patients Age BMI followup and gender were comparable QOLRAD HRQL PPI use DeMeester scores and pH time 4 significantly improved in all groups and were equivalent Anatomic recurrence was seen in five LNF four LHR and two HYB patients Reoperations were performed in three LHR two LNF and zero HYB patients

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