Clinical Scorecard: Technique and Results of Symmetrical Anterior-Posterior Partial Fundoplication

At a Glance

Key Highlights

• Symmetrical anterior-posterior partial fundoplication technique encircles 300° of the esophagus.
• Technique aims to minimize postoperative dysphagia by leaving the lesser curvature esophageal wall bare.
• High-volume centers report excellent long-term outcomes with minimally invasive fundoplication.
• Study includes up to 7 years of postoperative follow-up for safety and effectiveness.
• Postoperative quality of life assessed using the GERD health-related quality of life questionnaire.

Guideline-Based Recommendations

Diagnosis

• Preoperative evaluation includes contrast esophagram, upper GI endoscopy, high-resolution manometry, pH monitoring, and gastric emptying studies.

Management

• Surgical intervention is indicated for patients with GERD unresponsive to medical therapy.

Monitoring & Follow-up

• Postoperative outcomes include monitoring for intraoperative complications and early postoperative complications within 30 days.

Risks

• Potential risks include postoperative dysphagia and hiatal hernia recurrence.

Patient & Prescribing Data

Patients undergoing primary elective 300° symmetrical anterior-posterior partial fundoplication.

Surgical technique aims to restore antireflux barrier competence while minimizing side effects.

Clinical Best Practices

• Ensure fundoplication is created using the fundus of the stomach and placed around the distal esophagus.
• Maintain a tension-free fundoplication below the diaphragm.

Related Resources & Content

• Surgical Technique Reporting Checklist and Standards (SUPER)