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Post operative dysphagia following anti reflux surgery

I M Shapey, S Agrawal, A Peacock, P Super
INTRODUCTION: Laparoscopic partial fundoplication for gastro-oesophageal reflux disease (GORD) is reported to have fewer side effects when compared to Nissen fundoplication, but doubts remain over its long term durability in controlling reflux. The aim of this study was to assess outcome of symptoms for all patients presenting with GORD undergoing routine laparoscopic subtotal Lind fundoplication. MATERIALS & METHODS: All patients undergoing laparoscopic fundoplication between August, 1999 and November, 2007 performed by a single surgeon were included in the study...
January 2015: International Journal of Surgery
L C Zurita Macías Valadez, R Pescarus, T Hsieh, L Wasserman, I Apriasz, D Hong, S Gmora, M Cadeddu, M Anvari
BACKGROUND: Laparoscopic Heller myotomy with partial fundoplication is the gold standard treatment for achalasia. Laparoscopic limited Heller myotomy (LLHM) with no anti-reflux procedure is another possible option. METHODS: A review of prospectively collected data was performed on patients who underwent LLHM from January 1998 to December 2012. Evaluation included gastroscopy, esophageal manometry, 24-h pH-metry, and the Short Form(36) Health Survey(SF-36) questionnaire at baseline and 6 months, as well as the global symptom score at baseline, 6 months, and 5 years post-surgery...
June 2015: Surgical Endoscopy
Larisa Corda, Maurizio Pacilli, Simon Clarke, John M Fell, David Rawat, Munther Haddad
BACKGROUND: Oesophageal achalasia is a rare disorder in childhood. Common treatments in adults include oesophageal cardiomyotomy (laparoscopic or open) with fundoplication. We aimed to assess the results of laparoscopic oesophageal cardiomyotomy without fundoplication for treatment of achalasia in children. METHODS: We reviewed the results of laparoscopic oesophageal cardiomyotomy between January 1998 and June 2008. Patients below the age of 18 years, who had undergone laparoscopic oesophageal cardiomyotomy without an anti-reflux procedure by a single surgeon, were identified...
January 2010: Surgical Endoscopy
Leila Mouelhi, Bakhta Ghrib, Jamel Ben Yedder, Radhouane Debbeche, Ahmed Krichene, Mohamed Salem, Morched Abdesselem, Abdeljelil Zaouche, Taoufik Najjar
BACKGROUND: Esophageal hypomotility is frequent in patients with gastroesophageal reflux disease (GERD). AIMS: To precise the frequency and the patterns of esophageal manometric abnormalities in GERD patients referred before antireflux surgery, to determine the frequency of post-operative dysphagia and to look for associated factors with high risk of dysphagia, with special interest on pre-operative esophageal manometric study. METHODS: We conducted a retrospective study based on patients having anti-reflux surgery and pre-operative esophageal manometry...
October 2008: La Tunisie Médicale
Atif Iqbal, Ziad Awad, Jennifer Simkins, Ricky Shah, Mumnoon Haider, Vanessa Salinas, Kiran Turaga, Anouki Karu, Sumeet K Mittal, Charles J Filipi
OBJECTIVE: To assess whether reoperative surgery for failed Nissen fundoplication is beneficial and to classify all mechanisms of failure recognized. SUMMARY BACKGROUND DATA: Antireflux surgery is often necessary, but a 10% failure rate is commonplace. We report results for patients undergoing reoperative surgery and present a nomenclature of mechanisms of failure. METHODS: A total of 104 patients, who had a previous fundoplication for gastroesophageal reflux disease (GERD), underwent reoperative surgery...
July 2006: Annals of Surgery
W Valiati, K H Fuchs, L Valiati, S M Freys, M Fein, J Maroske, H Tigges, A Thiede
Gastroesophageal reflux disease is probably the most frequently occurring benign functional disorder in the Western industrial countries. With the increasing popularity of laparoscopic anti-reflux procedures, issues on the appropriate technique have been revitalized. The purpose of this study is to evaluate the short- and long-term outcomes of laparoscopic fundoplication and reflect on the perspective of an increasing frequency of performed operations. The data sampling is based on a literature review and a questionnaire...
August 2000: Langenbeck's Archives of Surgery
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