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A big hiatus hernia ended up being contained in 39% of clients, and 14% had volvulus associated with the intrathoracic stomach. Sixty-four (18.4%) customers had more than one formerly failed antireflux treatments. The median follow-up had been 37 months (range 12-61). The Gastroesophageal Reflux disorder Health-Related well being score somewhat enhanced compared to standard (p less then 0.001), and 77% of patients were off proton-pump inhibitor