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  • 4511
  • 2018-12-18

LIVE AND UNCUT INTERACTIVE SURGERY: laparoscopic Nissen fundoplication for GERD

Epublication WebSurg.com, Dec 2018;18(12). URL:
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We present a laparoscopic Nissen fundoplication for gastroesophageal reflux disease (GERD) in a patient with a BMI of 21 with a very nice demonstration of the relevant anatomical structures. Numerous important tips and tricks to prevent complications or failure of a fundoplication are given during the various steps of the procedure. The intraoperative endoscopic controls show hyperplastic polys due to chronic proton pump inhibitor (PPI) treatment, serve to localize the Z-line, and to confirm the optimally positioned fundoplication.