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

Altun, Hasan; Akyüz, Ümit; Banlı, Oktay; Karakoyun, Rojbin; Onur, Ender; Okuducu, Mehmet; Karıp, Aziz Boras; Başkent, Ahmet; Kaya, Bülent; Memışoğlu, Kemal

doi:10.4318/tjg.2012.0487

Cited by 2 publications

(1 citation statement)

References 16 publications

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“…Complex surgical procedures can be performed laparoscopically, with minimal disruption of patients' life and a remarkable reduction in postoperative pain ( Altun et al, 2012 ). Complex surgical procedures can be performed laparoscopically, with minimal disruption of patients' life and a remarkable reduction in postoperative pain ( Altun et al, 2012 ).…”

Section: Introductionmentioning

confidence: 99%

The Impact of Laparoscopic Nissen Fundoplication on the Long-Term Quality of Life in Patients With Gastroesophageal Reflux Disease

Korkolis

Kapritsou

Konstantinou

et al. 2015

Gastroenterology Nursing

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Laparoscopic Nissen fundoplication is now the most common surgical procedure for treatment of gastroesophageal reflux disease (GERD), offering promising long-term outcomes. Outcomes for 46 patients with GERD who underwent Nissen fundoplication during the last 5 years (November 2007-June 2012) were prospectively studied using a structured questionnaire that evaluated clinical symptom scores for heartburn, dysphagia, and satisfaction with clinical outcomes. Postoperative care of the patients including analgesia, median hospital stay, overall cost, and complications was also studied. Clinical follow-up data for 2 years after surgery were available for all 46 patients. Forty-two patients (91.3%) were satisfied with their quality of life and only eight patients (17.4%) continued to receive antacids after surgery. Dysphagia to solid and liquid occasionally appeared in 26.1% (N = 12) and 17.4% (N = 8) of patients, respectively. Laparoscopic Nissen fundoplication was an effective long-term treatment for GERD. The operation resulted in a significant reduction of symptoms and minimized the use of antacid drugs with a high degree of patient satisfaction. Although some patients may have returned to antacid treatment at late follow-up or continued to complain of mild discomfort, they were overall pleased with the outcome.

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Section: Introductionmentioning

confidence: 99%

The Impact of Laparoscopic Nissen Fundoplication on the Long-Term Quality of Life in Patients With Gastroesophageal Reflux Disease

Korkolis

Kapritsou

Konstantinou

et al. 2015

Gastroenterology Nursing

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Quantification of fluoroscopic fundoplication anatomy: inter- and intraobserver reliability

Gan

Lee

Tan

et al. 2021

Diseases of the Esophagus

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SUMMARY The etiology of postfundoplication dysphagia remains incompletely understood. Subtle changes of gastroesophageal junction (GEJ) anatomy may be contributory. Barium swallows have potential for standardization to evaluate postsurgical anatomical features. Using structured barium swallows, we aim to identify reproducible, objectively measured postfundoplication anatomical features that will permit future comparison between patients with/without dysphagia. At 6–12 months of postfundoplication, 31 patients underwent structured barium swallow with video–fluoroscopy recording: standing anteroposterior; standing oblique (×2); prone oblique (×2); and prone oblique with continuous free drinking. A primary observer recorded 11 variables of GEJ anatomy for each view, repeated 3 months later, forming two datasets to assess intraobserver consistency. Interobserver reliability was determined using a dataset each from the primary observer and two medical students (after training). Intraclass correlation coefficients (ICC) were based on two-way mixed-effects model (ICC agreement: 0.40–0.59 ‘fair’; 0.60–0.74 ‘good’; 0.75–1.00 ‘excellent’). Interobserver reliability was good–excellent for 47 of 66 measurements. Measures of maximal esophageal diameter cf. wrap opening diameter and posterior esophageal angle showed high interobserver reproducibility on all views (ICC range 0.84–0.91; 0.68–0.80, respectively). Interobserver agreement was good–excellent for 5/6 views when measuring anterior GEJ displacement and axis deviation (ICC range 0.56–0.79; 0.41–0.77, respectively). Measures of wrap length showed lower reproducibility. Prone oblique measurements showed highest reproducibility (good–excellent agreement in 19/22 measurements). Intraobserver consistency was excellent for 98% of measurements (ICC range 0.74–0.99). Objective measurements of postfundoplication GEJ anatomy using structured barium swallow are reproducible and may allow further interrogation of anatomical features contributing to postfundoplication dysphagia.

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

Abstract: Girifl ve

Cited by 2 publications

References 16 publications

The Impact of Laparoscopic Nissen Fundoplication on the Long-Term Quality of Life in Patients With Gastroesophageal Reflux Disease

The Impact of Laparoscopic Nissen Fundoplication on the Long-Term Quality of Life in Patients With Gastroesophageal Reflux Disease

Quantification of fluoroscopic fundoplication anatomy: inter- and intraobserver reliability

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