PMID: 9448118Aug 1, 1997Paper

Laparoscopic redo Nissen fundoplication

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
C T Frantzides, M A Carlson

Abstract

Nine patients underwent redo laparoscopic Nissen fundoplication because of failed primary laparoscopic antireflux procedure. Symptoms prior to reoperation included heartburn (n = 5), dysphagia (n = 2), dysphagia and heartburn (n = 1), and early satiety and epigastric pain (n = 1). Endoscopic and radiologic findings prior to reoperation included esophagitis (n = 6), reflux (n = 6), stenosis (n = 2), and hiatal hernia (n = 1). Findings at reoperation included fundoplication positioned on the stomach (n = 5); a disrupted cruroplasty (n = 1); gastric volvulus (n = 1); and an excessively tight wrap (n = 1) or cruroplasty (n = 1). Reconstruction of the fundoplication was performed according to accepted principles for this procedure. All patients were discharged within 2 days after the redo procedure. Follow-up time is 4-14 months. Preoperative symptoms were relieved in all patients and all antireflux medication have been discontinued. Routine postoperative esophagram and endoscopy demonstrated intact repair and without gastroesophageal reflux or stenosis. Reoperative laparoscopic Nissen fundoplication is feasible and effective.

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Citations

Feb 12, 2000·American Journal of Surgery·R PointnerT Kamolz
Mar 14, 2001·Anesthesiology Clinics of North America·S B Jones, D B Jones
Oct 5, 2001·Journal of the American College of Surgeons·M A Carlson, C T Frantzides
Dec 11, 2002·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·I BraghettoO Korn
Feb 17, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Constantine T FrantzidesGeorgios D Ayiomamitis
Jun 24, 2006·Annals of Surgery·Atif IqbalCharles J Filipi
Aug 22, 2012·JSLS : Journal of the Society of Laparoendoscopic Surgeons·S A Khan, L Stephens
Aug 19, 2014·The Annals of Thoracic Surgery·George MakdisiClaude Deschamps
Jan 9, 2009·International Journal of Surgery·A Abdel-Raouf El-GeidieO Fathi
Apr 2, 2004·The American Journal of Gastroenterology·Stuart Jon Spechler

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