| 11. | In those with symptoms that do not improve with PPIs surgery known as transoral incisionless fundoplication may help.
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| 12. | Additionally an operation known as a Nissen fundoplication can reduce the reflux of acid from the stomach into the esophagus.
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| 13. | It provides excellent results as compared to Nissen's fundoplication, which is associated with higher incidence of postoperative dysphagia.
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| 14. | The fundoplication can also come undone over time in about 5 10 % of cases, leading to recurrence of symptoms.
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| 15. | On the one hand, the myotomy opens the esophagus, while on the other hand, the fundoplication causes an obstruction.
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| 16. | Compared to Nissen fundoplication procedures, the procedure has shown a reduction in complications such as gas bloat syndrome that commonly occur.
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| 17. | The robotic lateral esophageal myotomy preserves the esophageal valve and does not result in reflux, thereby obviating the need for a fundoplication.
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| 18. | Improvement of GERD symptoms is similar to those of the Nissen fundoplication, although there is no data regarding long-term effects.
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| 19. | In a Nissen fundoplication, also called a complete fundoplication, the fundus is wrapped all the way 360 degrees around the esophagus.
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| 20. | In a Nissen fundoplication, also called a complete fundoplication, the fundus is wrapped all the way 360 degrees around the esophagus.
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