Persistent dysphagia is a rare problem after laparoscopic Nissen fundoplication.

Surgical Endoscopy
Milena NikolicSebastian F Schoppmann

Abstract

Although around 30% of patients with gastroesophageal reflux disease (GERD) are insufficiently treated with medical therapy, only 1% opt for surgical therapy. One of the reasons behind this multifactorial phenomenon is the described adverse effect of long-term dysphagia or gastric bloating syndrome after surgical treatment. Aim of this study was to evaluate the most common side effects associated with anti-reflux surgery, as well as long-term outcomes in a large cohort of highly surgically standardized patients after laparoscopic Nissen fundoplication (LNF). Out of a prospective patients' database including all patients that underwent anti-reflux surgery between 01/2003 and 01/2017 at our institution, 350 consecutive patients after highly standardized LNF were included in this study. A standardized interview was performed by one physician assessing postoperative gastrointestinal symptoms, proton pump inhibitor intake (PPI), GERD-Health-Related-Quality-of-Life (GERD-HRQL), Alimentary Satisfaction (AS), and patients' overall satisfaction. After a median follow-up of 4 years, persistent dysphagia (PD) after LNF was observed in 8 (2%) patients, while postoperative gas-bloat syndrome in 45 (12.7%) cases. Endoscopic dilatation was ne...Continue Reading

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Citations

Oct 18, 2019·ANZ Journal of Surgery·Magnus CampanelloStefan Lindskog
Feb 28, 2020·Khirurgiia·D A DanilovaL I Gorbunova
Oct 13, 2019·World Journal of Surgery·Milena NikolicSebastian F Schoppmann
Nov 26, 2020·Surgical Innovation·Adolfo RenziGianni Barone
Jan 16, 2021·Clinical Journal of Gastroenterology·Adolfo RenziGianni Barone
Jul 11, 2020·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Gül B Makal, Ahmet G Türkçapar
Feb 10, 2021·The American Surgeon·Alexander J FriedmanJoel R Brockmeyer

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