• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Laparoscopic Nissen against Anterior Partial Fundoplication for treatment of gastroesophageal reflux disease – a prospective randomized trial for Chinese patients

Laparoscopic Nissen against Anterior Partial Fundoplication for treatment of gastroesophageal reflux disease – a prospective randomized trial for Chinese patients

Philip Chiu, MD1, Vivien Wong, FRCSEd1, Anthony Teoh, FRCSEd1, Justin Wu, MD2, Hon Chi Yip, FRCSEd1, Shannon Chan, FRCSEd1, Shirley Liu, FRCSEd1, Simon Wong, FRCSEd1, Enders Ng, FRCSEd1. 1Department of Surgery, Chinese University of Hong Kong, 2Department of Medicine, Chinese University of Hong Kong

Background: This is a prospective randomized trial comparing laparoscopic Nissen against anterior partial fundoplication for treatment of GERD in Chinese.

Method: Patients with typical symptoms and either erosive esophagitis or excessive acid exposure were recruited. Patients were randomized to laparoscopic Nissen fundoplication (LNF) or anterior fundoplication (LAF) after repair of crural defect. The demographics, perioperative and clinical outcomes were compared. 

Results: From 2007 to 2016, 71 Chinese patients received either LNF (n = 36) or LAF (n = 35). There was no difference in preoperative DeMeester score (LNF 20.9 vs LAF 22.0; p = 0.842), as well as postoperative complication and hospital stay (LNF 2 (1-6) vs LAF 2 (1-12); p = 0.526). There was significantly higher postoperative dysphagia for LNF group (41.7% vs 20%; p = 0.048), while there was no difference in GERD recurrence (11.1% vs 17.1%; p = 0.733).

Conclusion: In Chinese with severe GERD, laparoscopic anterior fundoplication achieved similar effect compared to Nissen. Anterior fundoplication is associated with lower rate of dysphagia (NCT00480285).

Parameters LNF (36) LAF (35) p value
Age (yrs) 52 (28-70) 52 (21-65) 0.549
Gender (Male)(%) 22 (61.1) 25 (71.4) 0.358
Duration of GERD (months) 60 (12-120) 48 (10-180) 0.912
No of comorbidities 1 (0-4) 1 (0-5) 0.242
Preop DeMeester score 20.9 +/- 21.6 22.0 +/- 22.2 0.842
Operative time (mins) 100 (45-225) 105 (40-165) 0.787
Fundoplication time (mins) 30 (12-100) 42.5 (15-90) 0.001
Hospital stay (days) 4 (2-8) 4 (2-8) 0.747
Postop complication (%) 2 (5.6) 3 (8.6) 0.674
30 Days mortality 0 0 –
Days to resume diet 2 (1-4) 2 (1-5) 0.992
Overall postop dysphagia (%) 15 (41.7) 7 (20) 0.048
Reoperation (%) 2 (5.6) 1 (2.9) 1.0
Endoscopic dilatation (%) 5 (13.9) 1 (2.9) 0.199
Recurrence of GERD (%) 4 (11.1) 6 (17.1) 0.733
Postop DeMeester score at 12 months 0.3 (0-59.5) 0.3 (0-45.9) 0.326
       

 


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 86683

Program Number: P394

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

86

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals