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Objective To investigate the outcome of laparoscopic hiatal hernia (HH) repair plus fundoplication for gastroesophageal reflux disease (GERD) complicated with HH and asthmatic symptoms.Methods GERD patients complicated with HH and asthmatic symptoms treated in GERD Department of the Second Artillery General Hospital from January 2008 to January 2012 were documented.The outcomes were followed up with a questionnaire to assess the symptom scores of the typical GERD symptoms, asthmatic symptoms and complications before and after surgery.