This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Laparoscopic anterior 180-degree versus Nissen fundoplication for gastroesophageal reflux disease: systematic review and meta-analysis of randomized clinical trials. Ann Surg 2013; 257: 850-859.

Published: 30th July 2013

Authors: Broeders J, Roks DJ, Ahmed AU, Watson DI, Baigrie RJ, ZhanGuo C et al. et al.

Conclusion

There were five trials that included 458 participants. At both 1 and 5 years, dysphagia and gas-related symptoms were lower after 180-degree fundoplication. There was no difference between the procedures in heartburn scores, patient satisfaction, or need for oesophageal dilatation or reoperation.

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