Nissen fundoplication: still the gold standard?

Almost 60 years ago, Rudolph Nissen described the fundoplication that bears his name. With some modifications, it is today the operation more commonly performed for the treatment of gastroesophageal reflux disease, and it is still the gold standard to which any new procedure, endoscopic or laparoscopic, must be compared. The success of the operation is based on a careful patients’ selection and through pre-operative work-up, and on the respect of key technical elements.