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Ayman M Elwan
Ahmed Abd El Aal Sultan
Mohamed Bakheet Gaber
Gamal Galal Shemy
Ahmed M Hassan
Lotfy Abdalstar
Mohamed Naroz
Mohamed Eid
Mohamed Aboalkher
Abd Alhamed H Mohammedain
Khaled Maher
Mohammed A Nafea
Mohamed S. Hemeda


Gastroesophageal Reflux, hiatal hernia, laparoscopic Nissen fundoplication, dysphagia.


Background: Nissen fundoplication is a contemporary strategy for alleviating symptoms, leading to an increase in overall quality of life (QoL). The effectiveness of antireflux surgery may be limited by complications of Nissen fundoplication, including the inability to vomit or belch, increased bloating, dysphagia, and recurrence.

Methods: Forty patients with gastroesophageal reflux disease (GERD) and hiatus hernia (NHS) were included in our study from July 2019 to July 2022 and underwent Laparoscopic Nissen Fundoplication (LNF).

Results: Preoperative complaints of patients included regurgitation at 30%, heartburn at 90%, dysphagia at 17.5%, bronchial asthma at 12.5%, and chronic cough at 7.5%. There were 30% with GERD, 15% with NHS, and a combined GERD with NHS was present in 55%. The mean operative time was 66.5 hours. The mean time for hospital stay was 19.4 hours.

Regarding postoperative dysphagia, 18 patients (45%) complained of dysphagia {16 patients resolved spontaneously one month later as they were mild, and two patients improved three months with balloon dilatation as there were moderate}.

Conclusion: LNF can be performed without postoperative dysphagia with meticulousness and a number of precautionary measures.

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