PMID- 27813017 OWN - NLM STAT- MEDLINE DCOM- 20171211 LR - 20240213 IS - 1873-4626 (Electronic) IS - 1091-255X (Linking) VI - 21 IP - 3 DP - 2017 Mar TI - Tri-comparison of Laparoscopic Nissen, Hill, and Nissen-Hill Hybrid Repairs for Uncomplicated Gastroesophageal Reflux Disease. PG - 434-440 LID - 10.1007/s11605-016-3317-6 [doi] AB - BACKGROUND: A randomized controlled trial (RCT) showed that laparoscopic Nissen fundoplication (LNF) and Hill (LHR) repairs are equivalent in treating uncomplicated GERD. We combined both repairs to create a laparoscopic Nissen-Hill Hybrid repair (HYB). The purpose of this study is to compare clinical and objective outcomes of a matched group of HYB to the two cohorts of the RCT. METHODS: A retrospective analysis of prospectively collected data from the RCT and a prospectively collected data base was performed. Data were collected preoperatively, postoperatively short-term (ST) at 6 weeks and mid-term (MT) at 6-12 months. Evaluation was standardized according to the RCT and included three quality of life metrics (QOLRAD, GERD-HRQL, Dysphagia), endoscopy, manometry, pH testing, and barium swallow. RESULTS: There were 51 HYB, 46 LNF, and 56 LHR patients. Age, BMI, follow-up, and gender were comparable. QOLRAD, HRQL, PPI use, DeMeester scores, and pH% time <4 significantly improved in all groups and were equivalent. Anatomic recurrence was seen in five LNF, four LHR, and two HYB patients. Reoperations were performed in three LHR, two LNF, and zero HYB patients. CONCLUSION: Tri-comparison shows that HYB is a promising alternative to LHR and LNF. Side effects were not increased and there were fewer reoperations for failure. FAU - Schneider, Andreas M AU - Schneider AM AD - Division of Thoracic Surgery, Swedish Cancer Institute and Medical Center, 1101 Madison St. Suite 900, Seattle, WA, 98104, USA. FAU - Aye, Ralph W AU - Aye RW AD - Division of Thoracic Surgery, Swedish Cancer Institute and Medical Center, 1101 Madison St. Suite 900, Seattle, WA, 98104, USA. ralph.aye@swedish.org. FAU - Wilshire, Candice L AU - Wilshire CL AD - Division of Thoracic Surgery, Swedish Cancer Institute and Medical Center, 1101 Madison St. Suite 900, Seattle, WA, 98104, USA. FAU - Farivar, Alexander S AU - Farivar AS AD - Division of Thoracic Surgery, Swedish Cancer Institute and Medical Center, 1101 Madison St. Suite 900, Seattle, WA, 98104, USA. FAU - Louie, Brian E AU - Louie BE AD - Division of Thoracic Surgery, Swedish Cancer Institute and Medical Center, 1101 Madison St. Suite 900, Seattle, WA, 98104, USA. LA - eng PT - Comparative Study PT - Journal Article DEP - 20161103 PL - Netherlands TA - J Gastrointest Surg JT - Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract JID - 9706084 RN - 0 (Proton Pump Inhibitors) SB - IM MH - Adult MH - Esophageal pH Monitoring MH - Female MH - Fundoplication/*methods MH - Gastroesophageal Reflux/drug therapy/*surgery MH - Humans MH - Hydrogen-Ion Concentration MH - Laparoscopy/*methods MH - Male MH - Manometry MH - Middle Aged MH - Proton Pump Inhibitors/therapeutic use MH - *Quality of Life MH - Randomized Controlled Trials as Topic MH - Recurrence MH - Reoperation MH - Retrospective Studies MH - Treatment Outcome OTO - NOTNLM OT - Fundoplication OT - Gastroesophageal reflux OT - Quality of life OT - Recurrence OT - Reoperation EDAT- 2016/11/05 06:00 MHDA- 2017/12/12 06:00 CRDT- 2016/11/05 06:00 PHST- 2016/08/01 00:00 [received] PHST- 2016/10/26 00:00 [accepted] PHST- 2016/11/05 06:00 [pubmed] PHST- 2017/12/12 06:00 [medline] PHST- 2016/11/05 06:00 [entrez] AID - S1091-255X(23)02590-8 [pii] AID - 10.1007/s11605-016-3317-6 [doi] PST - ppublish SO - J Gastrointest Surg. 2017 Mar;21(3):434-440. doi: 10.1007/s11605-016-3317-6. Epub 2016 Nov 3.