Fundoplication

Slater, Bethany J.; Rothenberg, Steven S.

doi:10.1016/j.clp.2017.08.009

Cited by 7 publications

(2 citation statements)

References 19 publications

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“… 7 , 12 Fundoplication can also increase esophageal stasis, resulting in an increased direct aspiration risk, worsening of respiratory symptoms and/or brief resolved unexplained events (BRUEs). 13 In addition, dumping syndrome can occur in patients post-fundoplication. 14 , 15 Wrap failure and recurrent GERD symptoms are reported in up to 45% of EA patients 16–20 versus 4–10% in patients without EA.…”

Section: Introductionmentioning

confidence: 99%

Fundoplication in children with esophageal atresia: preoperative workup and outcome

Lennep

Chung

Jiwane

et al. 2022

Diseases of the Esophagus

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Summary Up to 45% of esophageal atresia (EA) patients undergo fundoplication during childhood. Their esophageal dysmotility may predispose to worse fundoplication outcomes compared with patients without EA. We therefore compared fundoplication outcomes and symptoms pre- and post-fundoplication in EA patients with matched patients without EA. A retrospective review of patients with- and without EA who underwent a fundoplication was performed between 2006 and 2017. Therapeutic success was defined as complete sustained resolution of symptoms that were the reason to perform fundoplication. Fundoplication indications of 39 EA patients (49% male; median age 1.1 [0.1–17.0] yrs) and 39 non-EA patients (46% male; median age 1.3 [0.3–17.0] yrs) included respiratory symptoms, brief resolved unexplained events, typical symptoms of gastroesophageal reflux disease, recurrent strictures and respiratory problems. Post-fundoplication, therapeutic success was achieved in 5 (13%) EA patients versus 29 (74%) non-EA patients (P<0.001). Despite therapeutic success, all 5 (13%) EA patients developed postoperative sustained symptoms/complications versus 12 (31%) non-EA patients. Eleven (28%) EA patients versus 3 (8%) non-EA patients did not achieve any therapeutic success (P=0.036). Remaining patients achieved partial therapeutic success. EA patients suffered significantly more often from postoperative sustained dysphagia (41% vs. 13%; P=0.039), gagging (33% vs. 23%; P<0.001) and bloating (40% vs. 17%; P=0.022). Fundoplication outcomes in EA patients are poor and EA patients are more susceptible to post-fundoplication sustained symptoms and complications compared with patients without EA. The decision to perform fundoplication in EA patients with proven gastroesophageal reflux disease needs to be made with caution after thorough multidisciplinary evaluation.

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Section: Introductionmentioning

confidence: 99%

Fundoplication in children with esophageal atresia: preoperative workup and outcome

Lennep

Chung

Jiwane

et al. 2022

Diseases of the Esophagus

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“…First introduced as a treatment for gastroesophageal reflux disorder (GERD) in 1991 by Dallemange et al, laparoscopic Nissen fundoplication in pediatric patients has since become the standard of care for children with GERD refractory to medical management. 1 It is estimated that GERD affects 7% -20% of the pediatric population 2 and approximately 25% -36% of these children undergo surgical intervention to decrease GERD symptomatology. 3 However, current literature suggests that there is a higher rate of postoperative complications and recurrence of initial symptoms in the pediatric population compared to those in adults undergoing the same surgical procedure.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Revision of Nissen to Partial Fundoplication 20 Years After Initial Surgery as an Infant

Wiemann¹,

Kamya²,

Auyang³

2021

CRSLS

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We report a case of a 21-year-old male who presented with adult-onset dysphagia after previous Nissen fundoplication initially created at age 10.5 months. The patient first presented one year ago to a different hospital, where he underwent extensive workup for his symptomatology. Physiologic tests performed were esophagogastroduodenoscopy (EGD), abdominal ultrasound, hepatobiliary iminodiacetic acid scan, esophageal manometry, and lactulose breath test. The EGD identified stricture at the level of the gastroesophageal junction. The other studies did not reveal other physiologic causes for his symptoms. The patient then presented to our institution, at which time a repeat EGD showed evidence of tight Nissen fundoplication. The patient subsequently underwent laparoscopic exploration, which revealed that the fundoplication had was partially disrupted, herniated, and twisted causing a long-segment distal stricture. To alleviate the patient’s presenting symptom of dysphagia as well as prevent possible future reflux, it was decided to convert repair the hernia and revise the Nissen into a partial fundoplication. This was successfully accomplished laparoscopically with subsequent resolution of the patient’s symptoms.

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Esophageal Surgery in Neonates: Esophageal Atresia, Gastroesophageal Reflux, and Other Congenital Anomalies

Kovler,

Kunisaki

2024

Principles of Neonatology

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Fundoplication

Cited by 7 publications

References 19 publications

Fundoplication in children with esophageal atresia: preoperative workup and outcome

Fundoplication in children with esophageal atresia: preoperative workup and outcome

Laparoscopic Revision of Nissen to Partial Fundoplication 20 Years After Initial Surgery as an Infant

Esophageal Surgery in Neonates: Esophageal Atresia, Gastroesophageal Reflux, and Other Congenital Anomalies

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