Ten year evaluation of posterior fundoplasty in the treatment of gastroesophageal reflux: long-term and comparative study of 135 patients.

Results over a 5 to 10 year period in 135 patients with hiatal hernia treated surgically by posterior fundoplasty were compared with results in a similar group of 40 patients undergoing Nissen fundoplication. The final results demonstrate the effectiveness of both procedures to relieve gastroesophageal reflux. However, the collateral effects with posterior fundoplasty are considerably less than those with the Nissen fundoplication. The lower esophageal sphincter was longer with fundoplasty than with the Nissen procedure.