1. During the study time two patients had had repeat funcoplication for recurrent reflux and oesophagitis associated with defective fundic wrap. 2. Heartburn or regurgitation, or both were less common in the patients with endoscopically intact fundic wrap than in those with defective wrap. 3. The incidence of dysphagia was slightly increased, especially in the patients with intact v defective wrap. 4. Only inability to belch was associated with the state of the fundic wrap, being twice as common in cases with intact v defective wrap. 5. Two recurrent hiatal hernias were now found, both together with defective fundal wrap, and one paraoesophageal hernia associated with epigastric pain. 6. Most of the abnormal values were found in patients with defective fundic wrap. 7. Partially defective wrap, however, did not inevitably lead to abnormal reflux in our patients. 8. Almost all the abnormal values were found in patients with defective fundic wrap. |