Transabdominal Fundoplication (Nissen)

  • Jameson L. Chassin


Reflux esophagitis without good response to medical therapy, whether or not an anatomical hiatus hernia is present. If a previous operation has been performed at the esophagogastric junction for reflux, a transthoracic or thoracoabdominal approach is preferred. Stein and DeMeester summarize their indications for an antireflux operation as follows:
  1. 1)

    Persistent or recurrent symptoms and/or complications after 8 to 12 weeks of intensive acid suppression therapy, and

  2. 2)

    Increased esophageal exposure to gastric juice on 24 hour esophageal pH monitoring, and

  3. 3)

    Documentation of a mechanically defective lower esophageal sphincter on manometry.



Reflux Esophagitis Esophagogastric Junction Gastric Fundus Left Gastric Artery Short Gastric Vessel 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
  1. 1.Clinical SurgeryNew York University School of MedicineNew YorkUSA
  2. 2.Department of SurgeryNew York Hospital Medical Center of QueensFlushingUSA

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