Short-Term Results After Modified Rossetti Fundoplication for Neurologically Impaired Patients

Abstract

Purpose: In this study, we aimed to assess the short-term effects of laparoscopic modified Rossetti fundoplication (defined by liver retraction without mobilization, no crural repair, short gastric vessels left intact, and a small floppy wrap) on clinical evaluations of neurologically impaired patients with recurrent vomiting.

Methods: A retrospective review was performed on 18 neurologically impaired patients who underwent laparoscopic modified Rossetti fundoplication from April 1, 2012 to December 31, 2014. The authors assessed symptoms of recurrent reflux at 12 months postoperatively.

Results: None of the patients had recurrence of vomiting at 12 months postoperatively.

Conclusion: We believe that modified Rossetti fundoplication can be performed with good short-term outcome in all neurologically impaired patients with recurrent vomiting.