Gastroesophageal reflux disease: A review of surgical decision making

Table 1 Comparison of advantages and disadvantages in different types of fundoplications

	Advantages	Disadvantages
Nissen fundoplication	Very effective in controlling reflux over long periods of time	Increased flatulence, bloating and dysphagia
Anterior (Dor) fundoplication	Less postoperative dysphagia	Recurrent symptoms over time requiring more reoperations
Toupet fundoplication	Less postoperative dysphagia	Surgeons need to be mindful of length of wrap as it determines quality of reflux control