Accès ouvert déclaré 2026 article

Standardized W-H fundoplication procedure for gastroesophageal reflux disease (2026)

Zhiwei Hu, Jimin Wu, Akbar Ali, Juming Bao, Gaojian Cao, Dong Chen, Fengmin Chen, Longqi Chen, Shaofei Cheng, Yundan Ciren, Lei Cui, Youbin Cui, Keshu Shan, Changrong Deng, Senyang Ding, Xing Du, Guoyong Fan, Jinwen Fang, Huibin Feng, Yang Fu, Lizhong Fu, Ruizhong Gao, Jiangbo Gong, Quankai Gu, Zhixing Guo, Haiquan He, Hengzheng He, Yue He, Minggao Hu, Rong Hua, 黄迪宇, Jun Huang, Yukong Wong, Bin Huo, Bo Ji, Feng Ji, Yingdong Jia, Xiaohua Jiang, ZhiPeng Jiang, Haibo Jiang, Shi Jin, Jiansheng Kang, Dongyin Li, Guangkuo Li, J P Li, Li Li, Peng Li, Shaojie Li, Shihong Li, Shuliang Li, Xiaorong Li, Xiaofeng Li, Y Li, Zhigang Li, Zhitong Li, Weilin Liao, Changwei Lin, Feng Lin, Diangang Liu, Heli Liu, Junhui Liu, Junfeng Liu, Qing Liu, Songjie Liu, Xiaonan Liu, Zhongjie Lu, Jinghui Lu, Yiping Lu, Haining Ma, Keqiang Ma, Rui Ma, Xiaolong Ma, Yongqiang Ma, Maimaiti Tuerxun, Fanjie Meng, Song Meng, Yusheng Nie, Yuntao Niu, Wei Peng, Xudong Peng, Changfu Qin, Bing Qu, Jun Ren, Guoyi Shao, Sining Shen, Zhiyong Su, Weijun Sun, Yifeng Sun, Zuocheng Sun, Qinwen Tai, Jinfu Tan, Xiaoyong Tang, Xue Wang, Aiping Wang, Fan Wang, Feng Wang, Haolong Wang, Ji Wang, Jiabin Wang, Ju Wang, Qiuhong Wang, S Wang, Tao Wang, Xianbing Wang, Xinbo Wang, Xinjun Wang, Yong Wang, Zhifei Wang, Zongyue Wang, Junye Wen, Jianlin Wu, Jun Wu, Lisheng Wu, Xudong Wu, Yu Wu, Rongzhi Wu, Chuanbao Xia, Yang Xia, E Xie, Kunling Xie, Rongjing Xie, Xiaojun Xie, Guosheng Xing, Weiwei Xu, Xiao Xu, Xiaowu Xu, Xuedong Xu, Bo Xu, Jianguo Xu, Xiaodong Xu, Yunzhang Xue, Y Yan, Fuguo Yan, Chun Yang, Fuquan Yang, Huiqi Yang, Qiwu Yang, Yuetao Yang, Lei Yao, Qiyuan Yao, Jie Yin, Xingliang Yin, Yongtao Yu, Chunzhao Yu, Situ Yue, Yundan Xhi, Menghua Zeng, Bo Zhai, Chao Zhang, Die Zhang, Haiyan Zhang, Hao Zhang, Hong Zhang, Le Zhang, Lingxiang Zhang, Mingyuan Zhang, Peng Zhang, Wei Zhang, Xiangzhi Zhang, Yong Zhang, Youfu Zhang, Zhe Zhang, Chongyang Zhang, Hongzhi Zhao, Jiangning Zhao, Kai Zhao, Wenxing Zhao, Yubing Zhong, Biao Zhou, Zhou Taicheng, Leyi Zhu, Liyong Zhu

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Le résumé fourni par la source

Based on clinical experience and expert consensus from over a hundred medical centers across China, this technical specification systematically establishes a comprehensive operational framework for the standardized W-H fundoplication procedure in gastroesophageal reflux disease (GERD). To address common limitations of conventional techniques, such as postoperative dysphagia, bloating, and relatively high recurrence rates, this procedure incorporates a series of key innovations. These include precise hiatal repair with selective mesh reinforcement, restoration of the His angle, left-sided 180° fundoplication, reconstruction of the phreno-esophageal ligament, and novel three-dimensional fixation of the anti-reflux apparatus ("Wang fixation"). These techniques collectively enable physiological reconstruction of the anti-reflux barrier. The approach effectively balances anti-reflux efficacy with preservation of postoperative function while eliminating the need for routine division of the short gastric vessels. The technical specification comprehensively covers preoperative multidisciplinary evaluation, surgical indications, perioperative management, and a standardized surgical protocol (encompassing core components such as patient positioning/port placement, esophagus/hiatal dissection, hernia repair, mesh placement, fundoplication, posterior gastroesophageal junction fixation, and lesser omentum reconstruction), along with structured follow-up protocols. Its core philosophy places equal importance on both anatomical repair and functional recovery, integrating individualized surgical strategies with standardized procedures. This initiative aims to advance the standardization of GERD surgical management in China, providing clinicians with systematic and practical technical guidance and decision-making support.

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Le contrôle bibliographique ouvert

DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.

Titre Crossref: Standardized W-H fundoplication procedure for gastroesophageal reflux disease (2026)
Date Crossref: 20/01/2026
Éditeur: Oxford University Press (OUP)
Type: journal-article

Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.

Les sujets associés

Gastroesophageal reflux and treatmentsBariatric Surgery and OutcomesEsophageal Cancer Research and Treatment

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