Laparoscopic versus open nissen fundoplication: Outcome of surgery in monozygotic twins

Jose M. Martinez, Amy Halverson, David K. Magnuson, Jonathan M. Sackier*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Differences in outcome and cost of laparoscopic and open surgery are continuously being evaluated. Two-year-old monozygotic twin boys with a previous history of prematurity, severe gastroesophageal reflux disease, and intractable reactive airway disease were each scheduled to undergo a laparoscopic Nissen fundoplication (LNF) on the same day. Current medications for both patients included albuterol, cromolyn sodium, dexamethasone, ranitidine, and metoclopramide. In the first case, the laparoscopic procedure was converted to an open Nissen fundoplication (ONF) to gain expeditious control of bleeding from a short gastric vessel close to the spleen. The second patient underwent LNF without complication. Operative time for each patient was 3.5 h. The postoperative length of stay for each patient was 6 days (ONF) and 4 days (LNF). The total hospital charges were $21,931 (ONF) and $19,108 (LNF). The first patient (ONF) was readmitted later on the day of discharge (postoperative day 6) for vomiting and was discharged after 24 h with no further treatment. The subsequent course of each patient was similar. At a 6-week follow-up visit, both patients were tolerating a regular diet with weight gain and dramatic improvement in pulmonary symptoms.

Original languageEnglish (US)
Pages (from-to)323-326
Number of pages4
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques - Part A
Issue number5
StatePublished - Oct 1997

ASJC Scopus subject areas

  • Surgery


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