Preferential performance of Thal fundoplication for gastroesophageal reflux disease: a single institution experience
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In brief
In brief
Retrospective analysis of 281 pediatric GERD patients treated with Thal fundoplication shows promising outcomes with low recurrence (6.1%) and minimal complications. This anterior partial wrapping technique may offer an effective alternative to traditional Nissen fundoplication with fewer postoperative issues.
Written by the GCMD Library team from the article.
Abstract
Purpose
Nissen fundoplication (NF) is the most commonly used surgical treatment for persistent gastroesophageal reflux disease (GERD). We introduced to the alternative Thal fundoplication (TF) (partial anterior wrapping) in 1998. The purpose of this paper is to review and report on the effectiveness of TF in our department.
Methods
We retrospectively analyzed cases of 281 patients who underwent TF for GERD at our hospital from 1998 to 2019.
Results
Average age, 16.3 ± 18.1 years; average body weight, 21.0 ± 16.0 kg; average operative time, 89.1 ± 43.0 min; average volume of bleeding, 11.6 ± 29.2 g; enteral feeding commenced after an average of 3.4 ± 1.3 postoperative days (PODs), and average postoperative full enteral feeding was 6.3 ± 1.4 PODs. Five patients (1.8%) had Clavien–Dindo classification III or higher; average hospital stay duration was 10.3 ± 6.0 days, with symptom recurrence affecting 17 patients (6.1%).
Conclusion
TF may be an effective and simple treatment for GERD that has few recurrences and avoids complications common to NF, but further studies to compare it with other techniques are needed.