Laparoscopic fundoplication in patients with an aperistaltic esophagus and gastroesophageal reflux

Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus
D I WatsonP G Devitt

Abstract

A minority of patients with severe gastroesophageal reflux who present to surgeons for antireflux surgery have absent esophageal peristalsis when investigated before surgery with esophageal manometry. Some of these patients also have systemic sclerodema. While conventional wisdom suggests that these patients are at risk of a poor outcome if they proceed to fundoplication, some will have severe reflux symptoms, which are poorly controlled by medical therapy, and surgery will therefore offer the only chance of 'cure'. We performed this study to determine the outcome of laparoscopic fundoplication in the subset of patients with gastroesophageal reflux and an aperistaltic esophagus. From 1991 to 2003, the operative and follow-up details for all 1443 patients who underwent a laparoscopic fundoplication in our Departments have been prospectively collected on a database. These patients were then followed yearly using a standardized symptom assessment questionnaire. A subset of patients whose preoperative esophageal manometry demonstrated complete absence of esophageal body peristalsis and absent lower esophageal sphincter tone (aperistaltic esophagus) were identified from this database, and their outcome following laparoscopic fundopl...Continue Reading

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Citations

Mar 23, 2011·Surgical Endoscopy·Walter W ChanC Prakash Gyawali
Sep 4, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Marco G PattiFrancesco Palazzo
May 3, 2014·Surgical Endoscopy·Karl Hermann FuchsUNKNOWN European Association of Endoscopic Surgery (EAES)
Oct 16, 2007·Digestive Diseases and Sciences·Robyn DomsicKlaus Bielefeldt
Oct 30, 2012·Immunology and Allergy Clinics of North America·Keith C Meyer, Jennifer Bierach
Jul 24, 2007·Best Practice & Research. Clinical Gastroenterology·Daniel Sifrim, Fernando Fornari
May 8, 2008·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·Warren J GasperMarco G Patti
Oct 19, 2006·Seminars in Arthritis and Rheumatism·Stavros K NtoumaziosDimitrios A Assimakopoulos
Mar 31, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Mariano A MenezesMarco G Patti
May 13, 2015·The Surgical Clinics of North America·Steven P Bowers
Oct 22, 2016·Current Problems in Surgery·Jon S ThompsonDmitry Oleynikov
Apr 8, 2017·Current Rheumatology Reports·Rupal J Shah, Francesco Boin
Jun 24, 2017·International Journal of Surgery Case Reports·Alonso AndradeBrian R Davis
Dec 7, 2016·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Michael B GoldbergDaniel T Dempsey
Mar 5, 2009·Yonsei Medical Journal·Sang Kuon Lee, Eung Kook Kim
Jul 29, 2020·Gastroenterology Clinics of North America·Charles T BakhosRoman V Petrov
Apr 28, 2021·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Steven TranDavid I Watson

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