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

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

  • By

  • Haijun Du

  • Hongyi Dong

  • Ying Gao

  • Chuntao Liu

  • Xing Du

  • Diangang Liu

  • November 21, 2025

  • 0 min

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  • 1

    Laparoscopic Nissen fundoplication is the gold standard for treating moderate-to-severe gastroesophageal reflux disease (GERD).

  • 2

    Postoperative dysphagia occurs in 10% to 25% of patients after Nissen fundoplication, often due to tight wraps or pre-existing motility disorders.

  • 3

    Floppy Nissen fundoplication reduces dysphagia incidence from 28% to less than 10% by limiting wrap length and applying moderate tension.

  • 4

    The novel laparoscopic floppy Nissen fundoplication with V-flap suturing optimizes tension distribution, potentially decreasing postoperative dysphagia.

  • 5

    This study compares the modified LNF-V technique with conventional LNF regarding reflux control and dysphagia incidence in a cohort of 173 patients.

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