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Nissen fundoplication (NF) is the most commonly used surgical treatment for persistent gastroesophageal reflux disease (GERD). We introduced to the alternative Thal fundoplication (TF) (partial anterior wrapping) in 1998. The purpose of this paper is to review and report on the effectiveness of TF in our department. We retrospectively analyzed cases of 281 patients who underwent TF for GERD at our hospital from 1998 to 2019. Average age, 16.3 ± 18.1years; average body weight, 21.0 ± 16.0kg; average operative time, 89.1 ± 43.0min; average

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