Objective:

To compare the incidence of dysphagia and reflux control between laparoscopic floppy Nissen fundoplication with V-flap suturing (LNF-V) and conventional laparoscopic Nissen fundoplication (LNF).

Approach:

Key Findings:

• The incidence of postoperative dysphagia was significantly lower in the LNF-V group compared to the conventional LNF group.
• The LNF-V technique showed improved reflux control without compromising swallowing function.
• Most cases of dysphagia were transient, resolving within 6 to 8 weeks postoperatively.

Interpretation:

The laparoscopic floppy Nissen fundoplication with V-flap suturing may provide a favorable balance between effective reflux control and reduced risk of postoperative dysphagia compared to traditional techniques.

Limitations:

• The study is retrospective, which may introduce selection bias.
• Follow-up duration may not capture long-term outcomes of dysphagia and reflux control.

Conclusion:

LNF-V appears to be a promising modification of the Nissen fundoplication technique, potentially offering better postoperative swallowing outcomes while maintaining effective reflux control.

Source

Based on findings from:

Postoperative Swallowing Difficulties and Immediate Outcomes After Laparoscopic Floppy Nissen Fundoplication with V-flap Suturing

Haijun Du, Hongyi Dong, Ying Gao, Chuntao Liu, Xing Du, Diangang Liu. Bmc Gastroenterology, 2025.

https://link.springer.com/article/10.1186/s12876-025-04426-5

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