a 31 yr old female having c/o persistent reflux and vomiting since last 3 years, initially improved with ppi therapy but gradually required higher doses. upper gi endoscopy revealed gross reflux with grade 3 reflux esophagitis ,grossly open g.e junction throughout the procedure , allowing complete retroflexion up to mid esophagus.after 3 three years of failed conservative trial , wt loss and intractable gerd and vomiting, pt was planned for laproscopic nissen fundoplication. three stiches at crura, two for fundoplication and one for crura hitch taken with ethibond 2.0. after 25 days of surgery, pt has improved drametically. done by me, dr rahul naik and dr chetan morawala at naveli hospital.
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