Effect of partial and total laparoscopic fundoplication on esophageal body motility

Abstract

Laparoscopic fundoplication increased LES pressure and the strength of esophageal peristalsis in patients with abnormal preoperative esophageal motility. A total fundoplication resulted in normalization of peristalsis in the majority of patients.

Radiofrequency ablation if Barrett’s esophagus persists after fundoplication?

“…One year after fundoplication, typical and atypical symptoms were absent in 95-100% of patients, 98% were off proton pump inhibitor (PPI) therapy, manometric characteristics of the lower esophageal sphincter and esophageal acid exposure normalized, and life quality significantly improved [1,2]. Thus, the ''Krems-antireflux program'' seems to be very successful and is in keeping with the results of previously published series [3].…”

Antireflux surgery for patients with end-stage lung disease before and after lung transplantation

“…Delayed gastric emptying may play a role in reflux disease, so pyloroplasty is indicated when the delay in gastric emptying is severe. There also is evidence that fundoplication may improve both esophageal and gastric motility [11,17].…”

The effect of narrowed segment length on the degree of early postoperative dysphagia in laparoscopic Nissen fundoplication

“…Total fundoplication should be the procedure of choice for patients with GERD regardless of the preoperative esophageal motility. In a retrospective study, Herbella et al (10) concluded that total fundoplication more often causes normalization of peristalsis, with consequent amelioration of esophageal clearance. LNF is our operation of choice for GERD.…”