PMID: 518187Dec 1, 1979Paper

Nissen hiatal hernia repair: problems of recurrence and continued symptoms

The Annals of Thoracic Surgery
R D Henderson

Abstract

The standard Nissen operation is the most effective method of reflux control. However, the procedure can result in continuance of symptoms, particularly dysphagia, which presents considerable diagnostic difficulty. Experience gained in the management of 17 patients with continued recurrent symptoms following standard Nissen repair has allowed more specific definition of the nature of these problems. The anatomical defect has been categorized as follows: (1) tight repair (tight fundoplication or tight diaphragmatic repair); (2) anatomical recurrence with and without reflux; and (3) intussusception recurrence. Each patient has been evaluated by history, manometry, pH reflux, acid perfusion, radiology, and endoscopy. At the time of corrective operation, the previous repair was carefully dissected to allow confirmation of the type of defect. Correlation is made between symptoms, investigative findings, and the anatomical problem at operation.

References

Jun 1, 1977·Annals of Surgery·F L BushkinE R Woodward
Sep 1, 1977·The Annals of Thoracic Surgery·R D Henderson

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Citations

Apr 7, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Edgar J B FurnéeHein G Gooszen
Apr 12, 2000·The British Journal of Surgery·S TewR H Holloway
Apr 1, 1986·AORN Journal·D J Cohen, J R Starling
Jan 1, 1982·American Journal of Surgery·A DuranceauB Vallieres
Nov 1, 1983·American Journal of Surgery·J B NegreM Matikainen
Aug 1, 1988·Journal of Pediatric Surgery·A AlrabeeahD A Gillis
Jun 1, 1981·The Annals of Thoracic Surgery·J D Cooper, K N Jeejeebhoy
Jan 1, 1986·Acta Radiologica: Diagnosis·S G FranssonL Tibbling
May 1, 1985·The British Journal of Surgery·R G Buick, L Spitz
Oct 1, 1990·The Australian and New Zealand Journal of Surgery·C J Martin, P F Crookes
Jan 1, 1986·Langenbecks Archiv für Chirurgie·A F ChernousovS N Stepankin
Nov 4, 2000·Gastrointestinal Endoscopy·D A JohnsonW J Hogan

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