OBJECTIVE: To perform a meta-analysis of randomized trials comparing partial fundoplication (PF) with total (Nissen) fundoplication (TF) for gastroesophageal reflux disease in terms of morbidity, efficacy, and long-term symptomatology. DATA SOURCES: A structured Medline search for published studies. STUDY SELECTION: The available literature from 1975 until June 2007 was searched using the Medical Subject Headings… Read more »
Comparing laparoscopic antireflux surgery with esomeprazole in the management of patients with chronic gastro-oesophageal reflux disease: a 3-year interim analysis of the LOTUS trial
BACKGROUND: With the introduction of laparoscopic antireflux surgery (LARS) for gastro-oesophageal reflux disease (GORD) along with the increasing efficacy of modern medical treatment, a direct comparison is warranted. The 3-year interim results of a randomised study comparing both the efficacy and safety of LARS and esomeprazole (ESO) are reported. METHODS: LOTUS is an open, parallel-group… Read more »
Endoscopic appraisal of the gastroesophageal valve after antireflux surgery
OBJECTIVES: Little consensus exists regarding the endoscopic assessment of the esophagogastric junction after antireflux surgery. The purpose of this report is to characterize the gastroesophageal valve appearance unique to each type of antireflux procedure and to introduce an endoscopic lexicon by which to describe this anatomic region. METHODS: Endoscopic images were obtained from patients who… Read more »
Gastroesophageal sphincter: a model
Abstract There is substantial experimental and anatomic evidence suggesting that the human lower esophageal sphincter is not a muscular ring but has its correlate in the arrangement of the so-called muscular clasps and oblique sling fibers at the gastroesophageal junction. We assessed the mode of action of these distinct muscle units in a mechanical model.… Read more »
Mechanisms of action of antireflux surgery: theory and fact
Abstract Despite the absence of definitive explanations regarding either the physiologic or surgical factors which curtail gastro-esophageal reflux, effective antireflux operations exist. This article explores the theoretical factors relevant to the surgical control of reflux. These theoretical features include: (1) the pressure, length, and location of the manometrically defined lower esophageal sphincter (LES); (2) the… Read more »
The Treatment of Hiatal Hernia and Esophageal Reflux by Fundoplication
Nissen, R. (1964). The treatment of hiatal hernia and esophageal reflux by fundoplication (chapter 30). In L.M. Nyhus & H.N. Harkins (Eds), Hernia (1st ed., pp.488-96). Philadelphia, PA: Lippincott. After searches in PubMed.gov, Amazon.com and AbeBooks.com we were unable to locate a digital copy of this book chapter. The following material may be protected by… Read more »
A valve mechanism to prevent gastroesophageal reflux and esophagitis
Adler RH, Firme CN, Lanigan JM. A valve mechanism to prevent gastroesophageal reflux and esophagitis. Surgery. 1958;44:63-75. After searches in PubMed.gov, Amazon.com and AbeBooks.com we were unable to locate a digital copy of this peer-reviewed clinical publication. This material may be protected by copyright law. It is our intent to honor Drs Richard H Adler,… Read more »