Efficacy and Safety of Partial Posterior Fundoplication Compared to Total Fundoplication in GERD Patients: A Retrospective Study

Background: Gastroesophageal reflux disease (GERD) is stomach content backflowing into the esophagus and causing discomfort.Fundoplication is a surgical intervention for the improvement of the function of the lower esophageal sphincter.While total fundoplication (TF) provides very effective control of symptoms, partial posterior fundoplication (PPF) has been shown to produce similar results with lower complication rates, thereby making it optimal and safer.The study compared the efficacy and safety of PPF and TF in GERD patients.Method: This retrospective study was conducted on 100 patients diagnosed with GERD.PPF and TF were 50 participants in each group, and this study was conducted from October 2020 to October 2024.Patients 18 to 75 underwent preoperative evaluations before completing satisfaction and GERD-HRQoL questionnaires.The operations were performed by a single surgeon with a 5trocar surgical approach for PPF and TF procedures.Based on the direct mobilization of the esophagus, hiatal repair, and wrapping of the fundus.Result: The analysis compared the PPF and TF groups (50 patients each).The two groups had similar baseline demographics, clinical characteristics, and symptom severity.The average operating time was longer for PPF (p-values of 0.01).All postoperative outcomes, including symptom relief, endoscopic results, and satisfaction, were comparable; both groups showed a significant improvement in symptoms after surgery (p=0.000). Conclusion:The study concluded that PPF and TF treatments significantly improved symptoms, with similar results in demographics, complications, satisfaction, and long-term relief despite longer PPF operative time.