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Neto et al.                                                                                                                                                                              Laparoscopic Nissen fundoplication


                  GERD diagnosis               Symptoms endoscopy, barium swallow, manometry, pH monitoring



                 Association between                   Symptoms, pH monitoring, response to treatment,
                symptoms and GERD               other organs tests: laryngoscopy and exclusion of other diseases




                Indication for operation                    Predictors of success, patient interest




                      Surgery                                        Proper technique

           Figure 5: Road to a successful laparoscopic Nissen fundoplication. GERD: gastroesophageal reflux disease

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                                                                 endoscopies. Rev Med Chil 2004;132:19-25. (in Spanish)
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