Presentation and Outcomes of Laparoscopic Nissen Fundoplications

Objectives: Our study aimed to review the presentation and outcomes of LFNF in patients with gastroesophageal reflux disease (GERD). Study Design: Descriptive study. Place and Duration of Study: This study was conducted at the Florance Nigthengele Hospital, Istanbul, Turkey from January 2011 and August 2021. Method: ology: A total of 1840 (990 Female, 850 Male) patients underwent LFNF for GERD. Data including age, gender, coexisting diseases, presenting symptoms, duration of symptoms, time of surgery, intraoperative complications, postoperative complications, length of hospital stay and perioperative mortality were retrospectively reviewed. Results: : The mean age was 42,11∓0,31 years. Heartburn, regurgitation, hoarseness and cough were common presenting symptoms. The mean symptom duration was 5.93∓0.25 months. Reflux episodes > 5 min was 4.09 ± 3. De Meester's score of the patients was measured as 32 ± 17.8. The mean preoperative lower esophagus sphincter (LES) pressure was 9,2 ± 1.4 mmHg and the mean postoperative LES pressure was 14.3±2.41mm Hg. The intraoperative complication rate was 1% and postoperative complication rate was 1.6%. There was no mortality due to LFNF intervention. Conclusion: As an anti-reflux procedure, LFNF is a safe and reliable option for patients with GERD.