Fundoplication in laparoscopic Heller's cardiomyotomy for achalasia

Midya, Sumit; Ghosh, Debasish; Mahmalat, Mohamed Wajih

doi:10.1002/14651858.cd013386.pub2

Cited by 6 publications

(1 citation statement)

References 62 publications

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“…There are ongoing debates about whether this should be an anterior Dor or a posterior Toupet type fundoplication[ 5 - 7 ]. A Cochrane review performed in 2022 suggested that there may be little to no difference between Dor and Toupet fundoplications with regards to post operative reflux and dysphagia[ 8 ]. This review did however find that Nissen (total) fundoplication seemed to increase the risk for post operative dysphagia and should probably be avoided.…”

Section: Introductionmentioning

confidence: 99%

Navigating reflux disease after achalasia treatments: Balancing risks and benefits

Griffiths,

Wong

2024

World J Gastroenterol

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The peroral endoscopic myotomy (POEM) procedure has revolutionized the management of achalasia in many centres around the world as it offers patients a minimally invasive endoscopic solution to their dysphagia caused by achalasia. Alongside its success in alleviating dysphagia, concerns regarding postoperative gastroesophageal reflux disease have emerged as a pertinent issue which are not fully resolved. In this study, Nabi et al have comprehensively reviewed the topic of the prediction, prevention and management of gastroesophageal reflux after POEM. POEM is a purely endoscopic procedure which is usually performed without any anti-reflux procedure. Certain patients may be better served by a laparoscopic Heller’s myotomy and fundoplication and it is important that gastroenterologists and surgeons provide comprehensive risks and benefits of each achalasia treatment option so that patients can decide what treatment is best for them. This article by Nabi et al provides a comprehensive review of the current status of this issue to allow these discussions to occur.

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Section: Introductionmentioning

confidence: 99%