BACKGROUND: Laparoscopic Ω-type fundoplication (ΩTF) is a novel technique for gastroesophageal reflux disease (GERD), combining hiatoplasty with His-angle reconstruction by a 150° two-layered left-sided fundoplication. This retrospective analysis evaluated safety and efficacy of ΩTF during one-year follow-up. METHODS: 198 consecutive patients undergoing ΩTF at the Medical University Vienna were included. Safety, symptoms, hernia recurrence, and quality of life were evaluated. GERD-HRQL scores and contrast swallow X-rays were performed during follow-up. RESULTS: < 0.001). CONCLUSION: ΩTF appears safe and effective, providing substantial symptom relief, improved QoL, and low short-term hernia recurrence. Prospective studies are required to confirm these results.
Gensthaler et al. (Thu,) studied this question.