Persistent Dysphagia Rate After Antireflux Surgery is Similar for Nissen Fundoplication and Partial Fundoplication

Walle, Kara Vande; Funk, Luke M.; Xu, Yi‐Wei; Davies, Kevin D.; Greenberg, Jacob A.; Shada, Amber L.; Lidor, Anne O.

doi:10.1016/j.jss.2018.09.036

Cited by 22 publications

(9 citation statements)

References 26 publications

(51 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Thus, the gold standard operation for GERD with HH is laparoscopic hiatus hernia repair plus fundoplication. 13 Several complications can occur after laparoscopic fundoplication, including gas-bloating, inability to vomit, and dysphagia, which will affect the e cacy of fundoplication. Therefore, whether there be a wrap or not is still controversial.…”

Section: Discussionmentioning

confidence: 99%

Clinical observation of different anti-reflux methods in the treatment of gastroesophageal reflux disease with hiatus hernia

Zhang

Han

et al. 2021

Preprint

View full text Add to dashboard Cite

Hiatus hernia (HH) is a common benign disease of the digestive tract, which weaks the function of the anti-reflux barrier and causes gastroesophageal reflux disease (GERD). Laparoscopic HH repair and fundoplication is a classic surgical treatment for GERD patients with HH; however, some patients may complain of dysphagia and gas-bloating after the operation. For reducing complications of fundoplication, we adopted a new type of anti-reflux surgery for GERD treatment. We analysed our database of 40 patients with GERD plus HH who had LDF or a new anti-reflux surgery. At 12 months　after surgery, the total score(Sc), DeMeester score, numbers of reflux detected by impedance monitoring all decreased in two groups postoperatively, and there was no significant difference between the two groups after surgery. The minimum respiratory value increased after the operation in the control group, but there was no significant difference between the two groups. The mean respiratory value both increased in two groups postoperatively, and there was no significant difference between the two groups. The dysphagia in the experimental group was less common than that in the control group from early to 12 months after surgery. There was no significant difference in gas-bloating between the two groups in the early postoperative period but it was significantly lower in the experimental group than that in the control group in the late postoperative period. The short-term efficacy of the new anti-reflux surgery is the same as that of the LDP in the treatment of GERD with HH; however, the operation time, intraoperative blood loss, and the surgical complication rate are lower than that of the LDF, therefore, it is more commonly recommended.

show abstract

Section: Discussionmentioning

confidence: 99%

Clinical observation of different anti-reflux methods in the treatment of gastroesophageal reflux disease with hiatus hernia

Zhang

Han

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Persistent or “late” post‐fundoplication dysphagia may occur in up to 15%–25% of cases 59,60 . Endoscopy and barium swallow should be performed in all patients with late dysphagia following any form of anti‐reflux intervention (e.g., post‐fundoplication, magnetic sphincter augmentation, or transoral incisionless fundoplication).…”

Section: Utility Of Barium Esophagography Alongside Other Esophageal ...mentioning

confidence: 99%

“…58 Persistent or "late" post-fundoplication dysphagia may occur in up to 15%-25% of cases. 59,60 Endoscopy and barium swallow should be performed in all patients with late dysphagia following any form of anti-reflux intervention (e.g., post-fundoplication, magnetic sphincter augmentation, or transoral incisionless fundoplication). This is primarily to evaluate for an anatomical defect such as slipped or mispositioned fundoplication with recurrent hernia, an overly tight crural closure, or fibrosis around the magnetic sphincter mechanism (which may persist even after device removal).…”

Section: Post-fundoplication Dysphagiamentioning

confidence: 99%

How to effectively use and interpret the barium swallow: Current role in esophageal dysphagia

Sanagapalli

Plumb

Lord

et al. 2023

Neurogastroenterology Motil

View full text Add to dashboard Cite

BackgroundThe barium swallow is a commonly performed investigation, though recent decades have seen major advances in other esophageal diagnostic modalities.PurposeThe purpose of this review is to clarify the rationale for components of the barium swallow protocol, provide guidance on interpretation of findings, and describe the current role of the barium swallow in the diagnostic paradigm for esophageal dysphagia in relation to other esophageal investigations. The barium swallow protocol, interpretation, and reporting terminology are subjective and non‐standardized. Common reporting terminology and an approach to their interpretation are provided. A timed barium swallow (TBS) protocol provides more standardized assessment of esophageal emptying but does not evaluate peristalsis. Barium swallow may have higher sensitivity than endoscopy for detecting subtle strictures. Barium swallow has lower overall accuracy than high‐resolution manometry for diagnosing achalasia but can help secure the diagnosis in cases of equivocal manometry. TBS has an established role in objective assessment of therapeutic response in achalasia and helps identify the cause of symptom relapse. Barium swallow has a role in the evaluating manometric esophagogastric junction outflow obstruction, in some cases helping to identify where it represents an achalasia‐like syndrome. Barium swallow should be performed in dysphagia following bariatric or anti‐reflux surgery, to assess for both structural and functional postsurgical abnormality. Barium swallow remains a useful investigation in esophageal dysphagia, though its role has evolved due to advancements in other diagnostics. Current evidence‐based guidance regarding its strengths, weaknesses, and current role are described in this review.

show abstract

“…However, these partial fundoplications are generally considered not as durable as a Nissen fundoplication, 23 while some authors suggests the recurrence rates are not statistically higher when a partial fundoplication is performed, but robust long term data is still being gathered. [24][25][26][27][28][29]…”

Section: Laparoscopic Partial Fundoplication-toupet and Dor Fundoplicationsmentioning

confidence: 99%

Refractory Gastroesophageal Reflux Disease: Surgical Perspective from a Multi-Disciplinary Practice

Grimsley

Meyer

Velanovich

2021

Foregut

View full text Add to dashboard Cite

From the medical perspective, "refractory" gastroesophageal reflux disease (GERD) is symptomatic pathologic acid reflux that is not responsive to medical management, usually in the form of proton pump inhibitors (PPI). The basis of this approach is not to eliminate volume reflux, but to make reflux imperceptible by eliminating the stomach's ability to produce acid. Refractory, in this view, means that elimination of gastric acid does not lead to elimination of symptoms. GERD is protean in its manifestations and severity, both from the standpoint of symptoms, but also pathological manifestations, such as esophagitis, Barrett's esophagus, and eventual esophageal adenocarcinoma. The constellation of GERD manifestations, both typical and atypical, can have varying effects on the patient's quality of life. 1 Most quality of life decline is generally driven by symptoms, however other aspects can also contribute, such as the need to take medication indefinitely, medications' possible untoward effects, and concerns about neoplasia development. The only way to truly "cure" both acid and volume reflux is surgical. Therefore, from the surgical perspective, refractory GERD is diagnosed in the patient for whom reflux has produced such a detriment in their quality of life that they wish something more than medication.The purpose of this article is to discuss who should be considered for anti-reflux surgery (ARS), selection of operation, and pitfalls in patient selection. Our opinion is informed by our multidisciplinary approach to esophageal and swallowing disorders at the Joy McCann Culverhouse Center for Swallowing Disorders at the

show abstract

Persistent Dysphagia Rate After Antireflux Surgery is Similar for Nissen Fundoplication and Partial Fundoplication

Cited by 22 publications

References 26 publications

Clinical observation of different anti-reflux methods in the treatment of gastroesophageal reflux disease with hiatus hernia

Clinical observation of different anti-reflux methods in the treatment of gastroesophageal reflux disease with hiatus hernia

How to effectively use and interpret the barium swallow: Current role in esophageal dysphagia

Refractory Gastroesophageal Reflux Disease: Surgical Perspective from a Multi-Disciplinary Practice

Contact Info

Product

Resources

About