One hundred and twenty patients with documented extraesophageal symptoms of gastroesophageal reflux disease were randomized to either undergo floppy Nissen (n= 60) or Toupet fundoplication (n= 60). Symptom scores of extraesophageal symotoms and quality of life were prospectively evaluated. Analysis of the treatment results showed a significant improvement of symptoms in both patient groups.Quality of life improved substantially at short- and long-term follow up in both groups and there were no statistical differences between the groups in this parameter.

Inclusion Criteria:

• extraesophageal symptoms of gastroesophageal reflux disease
• undergoing surgery for gastroesophageal reflux disease
• at least 18 years old

Exclusion Criteria:

• patients under the age of 18 years
• previous anti-reflux surgery, other surgical procedures in the vicinity of the gastroesophageal junction
• major psychiatric illness
• unstable chronic illnesses (such as diabetes)
• inability of the patient to complete the survey.

Will be decided after publication of the article