Laparoscopic Antireflux Surgery: Total Fundoplication

  • Francisco Schlottmann
  • Marco Di Corpo
  • Marco G. Patti


Approximately 20% of the population in the United States has gastroesophageal reflux disease (GERD). Although most of patients obtain adequate symptomatic control with lifestyle modifications and proton-pump inhibitor (PPI) therapy, some patients will need surgical intervention because they only have partial control of symptoms, do not want to be on long-term medical treatment, or suffer complications related to PPI therapy. In these patients, a laparoscopic Nissen fundoplication aims to control symptoms, improve patients’ quality of life, and prevent GERD complications (bleeding, esophageal stenosis, Barrett’s esophagus, and adenocarcinoma). A properly executed operation is critical to achieve these goals.


Gastroesophageal reflux disease Antireflux surgery Laparoscopy Nissen fundoplication Hiatal Hernia 


Conflicts of Interest

The authors have no conflicts of interest to declare.


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Francisco Schlottmann
    • 1
    • 2
  • Marco Di Corpo
    • 2
  • Marco G. Patti
    • 3
    • 4
  1. 1.Department of SurgeryHospital Alemán of Buenos Aires, University of Buenos AiresBuenos AiresArgentina
  2. 2.Department of SurgeryUniversity of North CarolinaChapel HillUSA
  3. 3.Department of SurgeryCenter for Esophageal Diseases and Swallowing, University of North CarolinaChapel HillUSA
  4. 4.Department of MedicineCenter for Esophageal Diseases and Swallowing, University of North CarolinaChapel HillUSA

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