Mobilization of the lower end of the esophagus and plication of the fundus of the stomach around it (fundic wrapping) in the treatment of GASTROESOPHAGEAL REFLUX that may be associated with various disorders, such as hiatal hernia. (From Dorland, 28th ed)
Retrograde flow of gastric juice (GASTRIC ACID) and/or duodenal contents (BILE ACIDS; PANCREATIC JUICE) into the distal ESOPHAGUS, commonly due to incompetence of the LOWER ESOPHAGEAL SPHINCTER.
STOMACH herniation located at or near the diaphragmatic opening for the ESOPHAGUS, the esophageal hiatus.
A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy.
The superior portion of the body of the stomach above the level of the cardiac notch.
A motility disorder of the ESOPHAGUS in which the LOWER ESOPHAGEAL SPHINCTER (near the CARDIA) fails to relax resulting in functional obstruction of the esophagus, and DYSPHAGIA. Achalasia is characterized by a grossly contorted and dilated esophagus (megaesophagus).
Measurement of the pressure or tension of liquids or gases with a manometer.
The muscular membranous segment between the PHARYNX and the STOMACH in the UPPER GASTROINTESTINAL TRACT.
Analysis of the HYDROGEN ION CONCENTRATION in the lumen of the ESOPHAGUS. It is used to record the pattern, frequency, and duration of GASTROESOPHAGEAL REFLUX.
INFLAMMATION of the ESOPHAGUS that is caused by the reflux of GASTRIC JUICE with contents of the STOMACH and DUODENUM.
Difficulty in SWALLOWING which may result from neuromuscular disorder or mechanical obstruction. Dysphagia is classified into two distinct types: oropharyngeal dysphagia due to malfunction of the PHARYNX and UPPER ESOPHAGEAL SPHINCTER; and esophageal dysphagia due to malfunction of the ESOPHAGUS.
The area covering the terminal portion of ESOPHAGUS and the beginning of STOMACH at the cardiac orifice.
The ejection of gas or air through the mouth from the stomach.
Abnormal distention of the STOMACH due to accumulation of gastric contents that may reach 10 to 15 liters. Gastric dilatation may be the result of GASTRIC OUTLET OBSTRUCTION; ILEUS; GASTROPARESIS; or denervation.
Creation of an artificial external opening into the stomach for nutritional support or gastrointestinal compression.
Gastrointestinal symptoms resulting from an absent or nonfunctioning pylorus.
An organ of digestion situated in the left upper quadrant of the abdomen between the termination of the ESOPHAGUS and the beginning of the DUODENUM.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
Presence of milky lymph (CHYLE) in the PERITONEAL CAVITY, with or without infection.
A plastic operation on the esophagus. (Dorland, 28th ed)
Traumatic injuries to the VAGUS NERVE. Because the vagus nerve innervates multiple organs, injuries in the nerve fibers may result in any gastrointestinal organ dysfunction downstream of the injury site.
Endoscopic examination, therapy or surgery of the esophagus.
Incision into the side of the abdomen between the ribs and pelvis.
Saccular protrusion beyond the wall of the ESOPHAGUS.
An opening or hole in the ESOPHAGUS that is caused by TRAUMA, injury, or pathological process.
Time period from 1701 through 1800 of the common era.
A stricture of the ESOPHAGUS. Most are acquired but can be congenital.
A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
INFLAMMATION, acute or chronic, of the ESOPHAGUS caused by BACTERIA, chemicals, or TRAUMA.
Back flow of gastric contents to the LARYNGOPHARYNX where it comes in contact with tissues of the upper aerodigestive tract. Laryngopharyngeal reflux is an extraesophageal manifestation of GASTROESOPHAGEAL REFLUX.
Bursting of the STOMACH.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
Production or presence of gas in the gastrointestinal tract which may be expelled through the anus.
The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed)
Endoscopic examination, therapy or surgery of the digestive tract.
Pathological processes involving the STOMACH.
Protrusion of abdominal structures into the THORAX as a result of congenital or traumatic defects in the respiratory DIAPHRAGM.
A measure of the quality of health care by assessment of unsuccessful results of management and procedures used in combating disease, in individual cases or series.
A congenital or acquired condition in which the SPLEEN is not in its normal anatomical position but moves about in the ABDOMEN. This is due to laxity or absence of suspensory ligaments which normally provide peritoneal attachments to keep the SPLEEN in a fixed position. Clinical symptoms include ABDOMINAL PAIN, splenic torsion and ISCHEMIA.
Endoscopic examination, therapy or surgery of the gastrointestinal tract.
Motion picture study of successive images appearing on a fluoroscopic screen.
Remaining tissue from normal DERMIS tissue after the cells are removed.
Twisting of the STOMACH that may result in gastric ISCHEMIA and GASTRIC OUTLET OBSTRUCTION. It is often associated with DIAPHRAGMATIC HERNIA.
Devices intended to replace non-functioning organs. They may be temporary or permanent. Since they are intended always to function as the natural organs they are replacing, they should be differentiated from PROSTHESES AND IMPLANTS and specific types of prostheses which, though also replacements for body parts, are frequently cosmetic (EYE, ARTIFICIAL) as well as functional (ARTIFICIAL LIMBS).
Abnormal passage communicating with the STOMACH.
The period following a surgical operation.
The pit in the center of the ABDOMINAL WALL marking the point where the UMBILICAL CORD entered in the FETUS.
The act of dilating.
The period of confinement of a patient to a hospital or other health facility.
ENDOSCOPES for examining the abdominal and pelvic organs in the peritoneal cavity.
Surgery performed on the digestive system or its parts.
A technique of closing incisions and wounds, or of joining and connecting tissues, in which staples are used as sutures.
Substances that counteract or neutralize acidity of the GASTROINTESTINAL TRACT.
An unnaturally deep or rough quality of voice.
Substernal pain or burning sensation, usually associated with regurgitation of gastric juice into the esophagus.
A condition with damage to the lining of the lower ESOPHAGUS resulting from chronic acid reflux (ESOPHAGITIS, REFLUX). Through the process of metaplasia, the squamous cells are replaced by a columnar epithelium with cells resembling those of the INTESTINE or the salmon-pink mucosa of the STOMACH. Barrett's columnar epithelium is a marker for severe reflux and precursor to ADENOCARCINOMA of the esophagus.
The evacuation of food from the stomach into the duodenum.
A movement, caused by sequential muscle contraction, that pushes the contents of the intestines or other tubular organs in one direction.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
The return of a sign, symptom, or disease after a remission.

Gastro-oesophageal reflux related cough and its response to laparoscopic fundoplication. (1/248)

BACKGROUND: This study was designed to determine prospectively the rate of cough before and after laparoscopic Nissen fundoplication performed for the control of gastro-oesophageal reflux disease. METHODS: One hundred and ninety five consecutive patients (76 men) of mean (SD) age 46.9 (14.1) years with proven gastro-oesophageal reflux disease, who were either on long term omeprazole (n = 187) or who had not responded to a trial of omeprazole (n = 8), took part in the study which was carried out in a university teaching hospital that included a regional respiratory referral centre. Patients underwent oesophageal manometry, 24 hour oesophageal pH testing, and symptom score evaluation by an independent observer before and six months after laparoscopic Nissen fundoplication. RESULTS: One hundred and thirty three patients presented with reflux symptoms and 62 with respiratory symptoms; 68% of patients complained of cough before surgery (86% with respiratory symptoms, 60% with gastrointestinal symptoms). The percentage reflux time in 24 hours fell significantly (p < 0.0001) from a mean (SD) of 9.38 (10.99)% to 1.22 (2.92)%, lower oesophageal sphincter tone rose significantly (p < 0.0001) from a mean (SD) of 7.71 (5.90) mm Hg to 21.74 (10.84) mm Hg, and the cough score fell from a median value of 8.0 (IQR 12.0) to 0 (IQR 3) following surgery. Of the patients with cough, 51% were cough free after surgery and 31% improved. The patients with respiratory symptoms had a higher cough score before (median 12.0 (IQR 5.5) versus 4.0 (IQR 8.75), p < 0.0001) and after surgery (median 1 (7.5) versus 0.0 (IQR 1.0), p = 0.0045) than those with gastrointestinal symptoms. CONCLUSIONS: Patients who present to gastroenterologists with severe reflux commonly complain of cough. Laparoscopic Nissen fundoplication is effective in the control of cough in patients with gastro-oesophageal reflux disease, with or without primary respiratory disease.  (+info)

Anatomic fundoplication failure after laparoscopic antireflux surgery. (2/248)

OBJECTIVE: Anatomic fundoplication failure occurs after antireflux surgery and may be more common in the learning curve of laparoscopic antireflux surgery (LARS). The authors' aims were to assess the incidence, presentation, precipitating factors, and management of anatomic fundoplication failures after LARS. SUMMARY BACKGROUND DATA: The advent of LARS has increased the frequency with which antireflux surgery is performed for the treatment of gastroesophageal reflux disease. Postoperative symptoms frequently occur and may result from physiologic abnormalities or anatomic failure of the fundoplication (e.g., displacement or disruption). Few data exist on the potential causes or best treatment of anatomic fundoplication failures. METHOD: LARS was performed in 290 patients by one of the authors over a 6-year period. In the first 53 patients (group 1), the short gastric vessels were divided on a selective basis and the diaphragmatic crura were closed only when large hiatal hernias were present. In the subsequent 237 patients (group 2), the crura were always approximated posterior to the short gastric vessels and full fundic mobilization was performed. Clinical postoperative evaluation was performed on a regular basis, with detailed tests of anatomy and physiology when untoward symptoms developed. Postoperative foregut symptoms were reported by 26% of the patients, of whom 73% were found to have an intact fundoplication. In 7% of the entire group, anatomic failure of the fundoplication was demonstrated, with the majority exhibiting intrathoracic migration of the wrap with or without disruption of the fundoplication. New-onset postoperative epigastric or substernal chest pain frequently heralded fundoplication failure. Factors correlated with the development of anatomic fundoplication failure included presence in group 1, early postoperative vomiting, other diaphragm "stressors," and large hiatal hernias. Repeat operation has been performed in 8 of the 20 patients (40%), with 5 patients successfully treated using laparoscopic techniques. CONCLUSIONS: Anatomic fundoplication failure occurred in 7% of patients undergoing LARS, with the majority occurring in patients who underwent surgery during the learning curve. Anatomic failure is associated with technical shortcomings, large hiatal hernias, and early postoperative vomiting. Full esophageal mobilization and meticulous closure of the diaphragmatic crura posterior to the esophagus should minimize anatomic functional failure after LARS.  (+info)

Evolution of the modified Rossetti fundoplication in children: surgical technique and results. (3/248)

OBJECTIVE: To compare the modified Rossetti fundoplication with the classic Nissen. SUMMARY BACKGROUND DATA: The traditional surgical treatment of gastroesophageal reflux in children has been the classic Nissen fundoplication, defined by liver mobilization, crural repair, takedown of short gastric vessels, and floppy wrap. The authors have progressed in our technique of fundoplication and now perform a modified Rossetti fundoplication, defined by liver retraction without mobilization, no crural repair, short gastric vessels left intact, and 2-cm floppy wrap. METHODS: A retrospective chart review was performed on 407 pediatric patients who had open fundoplications (Jan. 13, 1993, to Feb. 25, 1998). Two groups were analyzed: the Nissen group (171 patients) and the Rossetti group (236 patients). Groups were compared for incidence of recurrent reflux, dysphagia, hiatal hernia, need for esophageal dilation, revision of fundoplication, time to discharge, and operative time. RESULTS: Incidence of dysphagia (3.7% vs. 3.3%), postoperative hiatal hernia (1.9% vs. 1.4%), need for esophageal dilation (1.2% vs. 0.5%), and need for fundoplication revision (2.5% vs. 2.3%) were similar between the groups. The mean operative time was significantly decreased in the Rossetti group (65 +/- 25 minutes) versus the Nissen group (73 +/- 33 minutes). Recurrent reflux occurred significantly more often in the Nissen group (11.2%) than in the Rossetti group (5.1 %). CONCLUSION: The modified Rossetti fundoplication has a low complication rate and is the authors' preferred method for the surgical treatment of gastroesophageal reflux in children.  (+info)

Early laparoscopic Nissen fundoplication for recurrent reflux esophagitis: a cost-effective alternative to omeprazole. (4/248)

BACKGROUND: Eighty percent of patients treated medically for gastroesophageal reflux disease relapse after treatment. Many of these patients require indefinite treatment with omeprazole to prevent recurrence. Nissen fundoplication has been shown to be effective, safe and cost effective in the management of gastroesophageal reflux disease. We suggest a treatment algorithm, which encourages early surgical intervention in cases of recurrent esophagitis after a previously successful two-month course of omeprazole. METHODS: We have offered laparoscopic Nissen fundoplication since 1993. Patients who received Nissen fundoplication since 1990 were asked to report return to baseline activity, medications, and lifestyle changes. Concurrent chart review of patients treated with omeprazole was conducted to analyze cost. RESULTS: Patients receiving laparoscopic Nissen fundoplication were discharged significantly sooner and spent significantly less time convalescing when compared to those who underwent open Nissen fundoplication. Laparoscopic Nissen fundoplication became cost effective at 1.5 to 2 years when compared to omeprazole. CONCLUSION: Based on cost analysis, patient satisfaction, acceptable complication rate, and efficient use of time and resources, we recommend laparoscopic Nissen fundoplication as the appropriate treatment in patients who develop recurrent esophagitis after a two-month treatment with omeprazole.  (+info)

Laparoscopic anti-reflux surgery in the community hospital setting: evaluation of 100 consecutive patients. (5/248)

BACKGROUND: Laparoscopic anti-reflux surgery has been shown to be superior to medical management for treatment of complicated gastroesophageal reflux disease (GERD). This study encompasses 100 consecutive patients undergoing laparoscopic Nissen-Rossetti or Toupet fundoplications for GERD refractory to medical management. STUDY DESIGN: All 100 patients had failed maximum medical management (behavioral and dietary modifications, antacids, and H2 and acid PUMP blockers). All patients underwent esophagogastroduodenoscopy with biopsy prior to surgery. Ninety-eight patients had esophageal manometry to evaluate the lower esophageal sphincter pressures and determine the amplitude of contractions of the body of the esophagus. Twenty-four hour pH studies were used selectively when the preceding studies were equivocal. RESULTS: All 100 patients' surgeries were accomplished laparoscopically. The mortality rate was zero. The postoperative complication rate was 2%. The average hospital stay was 1.85 days. Follow-up was achieved in 98%. The mean follow-up was 17.6 months. All patients had significant improvement of their symptoms. No patients have long-term dysphagia. CONCLUSIONS: The study demonstrates that laparoscopic anti-reflux surgery can be safely and effectively accomplished in the community hospital setting.  (+info)

Laparoscopic fundoplication failures: patterns of failure and response to fundoplication revision. (6/248)

OBJECTIVE: To determine rates and mechanisms of failure in 857 consecutive patients undergoing laparoscopic fundoplication for gastroesophageal reflux disease or paraesophageal hernia (1991-1998), and compare this population with 100 consecutive patients undergoing fundoplication revision (laparoscopic and open) at the authors' institution during the same period. SUMMARY BACKGROUND DATA: Gastroesophageal fundoplication performed through a laparotomy or thoracotomy has a failure rate of 9% to 30% and requires revision in most of the patients who have recurrent or new foregut symptoms. The frequency and patterns of failure of laparoscopic fundoplication have not been well studied. METHODS: All patients undergoing fundoplication revision were included in this study. Symptom severity was scored before and after surgery by patients on a 4-point scale. Evaluation of patients included esophagogastroscopy, barium swallow, esophageal motility, 24-hour ambulatory pH, and gastric emptying studies. Statistical analysis was performed with multiple chi-square analyses, Fisher exact test, and analysis of variance. RESULTS: Laparoscopic fundoplication was performed in 758 patients for gastroesophageal reflux disease and in 99 for paraesophageal hernia. Median follow-up was 2.5 years. Thirty-one patients (3.5%) have undergone revision for fundoplication failure. The mechanism of failure was transdiaphragmatic herniation of the fundoplication in 26 patients (84%). In 40 patients referred from other institutions, after laparoscopic fundoplication, only 10 (25%) had transdiaphragmatic migration (p < 0.01); a slipped or misplaced fundoplication occurred in 13 patients (32%), and a twisted fundoplication in 12 patients (30%). The failure mechanisms of open fundoplication (29 patients) followed patterns previously described. Fundoplication revision procedures were initiated laparoscopically in 65 patients, with six conversions (8%). The morbidity rate was 4% in laparoscopic procedures and 9% in open ones. There was one death, from aspiration and adult respiratory distress syndrome after open fundoplication. A year or more after revision operation, heartburn, chest pain, and dysphagia were rare or absent in 88%, 78%, and 91%, respectively, after laparoscopic revision, and were rare or absent in 91%, 83%, and 70%, respectively, after open revision, but 11 patients ultimately required additional operations for continued or recurrent symptoms, 3 after open revision (17%), and 8 after laparoscopic fundoplication (11%). CONCLUSIONS: Laparoscopic fundoplication failure is infrequent in experienced hands; the rate may be further reduced by extensive esophageal mobilization, secure diaphragmatic closure, esophageal lengthening (applied selectively), and avoidance of events leading to increased intraabdominal pressure. When revision is required, laparoscopic access may be used successfully by the laparoscopically experienced esophageal surgeon.  (+info)

Esophageal manometry and 24-hour pH monitoring to evaluate laparoscopic Lind fundoplication in gastroesophageal reflux disease. (7/248)

Laparoscopic and thoracoscopic techniques have provided a new dimension in the correction of functional disorders of the esophagus. Therapeutic success, however, depends on the confirmation of esophageal disease as a cause of the symptoms, on understanding the basic cause of dysfunction and on identifying the surgical patient. This study is a retrospective study of patients submitted to surgery using the Lind procedure for gastroesophageal reflux disease (GERD). The purpose of this study is to establish the value of the routine use of esophageal manometry and 24-hour pH monitoring in order to select patients and perform pre and postoperative functional evaluation. Forty-one patients (68.3%) had a hypotonic lower esophageal sphincter. The average pressure was 9.2 mm Hg preoperatively and 15.2 mm Hg postoperatively, with an increase of 6.0 mm Hg. This increase was 8.8 mm Hg in hypotonics and 4.3 mm Hg in the normotonics. There was a certain degree of hypomotility of the esophageal body in 14 patients (23.3%) and, of this group, 4 (28.5%) improved postoperatively. Pathological acid reflux was found in 51 cases (85.0%) by pH monitoring. The mean of the preoperative DeMeester score was 31.4, later dropping to 3.2. Esophageal manometry and 24-hour pH monitoring are effective methods for revealing the level of functional modification established by anti-reflux surgery and for helping to objectively perform the selection.  (+info)

Gastroesophageal reflux disease in asthma: effects of medical and surgical antireflux therapy on asthma control. (8/248)

OBJECTIVE: To critique the English-language reports describing the effects of medical and surgical antireflux therapy on respiratory symptoms and function in patients with asthma. METHODS: The Medline computerized database (1959-1999) was searched, and all publications relating to both asthma and gastroesophageal reflux disease were retrieved. RESULTS: Seven of nine trials of histamine-receptor antagonists showed a treatment-related improvement in asthma symptoms, with half of the patients benefiting. Only one study identified a beneficial effect on objective measures of pulmonary function. Three of six trials of proton pump inhibitors documented improvement in asthma symptoms with treatment; benefit was seen in 25% of patients. Half of the studies reported improvement in pulmonary function, but the effect occurred in fewer than 15% of patients. In the one study that used optimal antisecretory therapy, asthma symptoms were improved in 67% of patients and pulmonary function was improved in 20%. Combined data from 5 pediatric and 14 adult studies of anti-reflux surgery indicated that almost 90% of children and 70% of adults had improvement in respiratory symptoms, with approximately one third experiencing improvements in objective measures of pulmonary function. CONCLUSIONS: Fundoplication has been consistently shown to ameliorate reflux-induced asthma; results are superior to the published results of antisecretory therapy. Optimal medical therapy may offer similar results, but large studies providing support for this assertion are lacking.  (+info)

Kyle A Perry, MD, Jeffery L Eakin, MD, John G Linn, MD, Raymond P Onders, MD, Vic Velanovich, MD, W. Scott Melvin, MD. Center for Minimally Invasive Surgery, Department of Surgery, The Ohio State University, Columbus, OH; Department of Surgery, University Hospitals Case Medical Center, Cleveland, OH; Division of General Surgery, Henry Ford Hospital, Detroit, MI. INTRODUCTION: Transoral incisionless fundoplication (TIF) has been employed for endoscopic treatment of gastroesophageal reflux disease. Full thickness polypropylene H-fasteners create a serosa to serosa gastroesophageal plication. A certain subset of TIF patients will require subsequent antireflux surgery to achieve adequate reflux control, and it is unknown whether this procedure increases the technical difficulty of laparoscopic Nissen fundoplication for recurrent GERD. The aim of this study was to evaluate the initial North American experience performing laparoscopic Nissen fundoplication following failed TIF procedure.. METHODS: ...
Fundoplication is the standard surgical treatment for GERD. Usually a specific type of this procedure, called Nissen fundoplication, is performed. The Nissen fundoplication is considered the gold standard for controlling reflux and repairing hiatal hernias. It is the technique by which all other pro-cedures are judged. During the Nissen fundoplication, the hiatal hernia is repaired and the upper part of the stomach is wrapped around the LES to strengthen the sphincter, preventing acid reflux. The Nissen fundoplication is typically performed with minimally invasive surgical techniques (laparoscopic surgery). During a laparoscopic Nissen fundoplication small cameras and instruments are utilized to perform the repair through very small incisions. The small incisions greatly reduce the post-operative pain and allow for a much faster recovery. When performed by experienced surgeons laparoscopic fundoplication is safe and effective in people of all ages, including infants.. Most people can leave the ...
A Nissen fundoplication, or laparoscopic Nissen fundoplication when performed via laparscopic surgery, is a surgical procedure to treat gastroesphageal refulx disease (GERD) and hiatal hernia. In GERD, it is usually performed when medical therapy has failed; but, with a Type II (paraesophageal) hiatus hernia, it is the first-line procedure. The Nissen fundoplication is total (360°), but partial fundoplications known as Thal (270° anterior), Belsey (270° anterior transthoracic), Dor (anterior 180-200°), Lind (300° posterior), and Toupet fundoplications (posterior 270°) are alternative procedures with somewhat different indications and outcomes.. Whenever the stomach contracts, it also closes off the esophagus instead of squeezing stomach acids into it. This prevents the reflux of gastric acid (in GERD). Although antacids and PPI drug therapy can reduce the effects of reflux acid, successful surgical treatment has the advantage of eliminating drug side-effects and damaging effects from other ...
TY - JOUR. T1 - Comparison of Laparoscopic Total and Partial Fundoplication for Gastroesophageal Reflux. AU - Patti, Marco G.. AU - De Pinto, Mario. AU - De Bellis, Mario. AU - Arcerito, Massimo. AU - Tong, Jenny. AU - Wang, Anne. AU - Mulvibill, Sean J.. AU - Way, Lawrence W.. PY - 1997/7. Y1 - 1997/7. N2 - Approximately 25% of patients with gastroesophageal reflux severe enough to be considered for surgical treatment have dysfunction of esophageal peristalsis in addition to dysfunction of the lower esophageal sphincter. A standard total (i.e., Nissen) fundoplication in these patients may be followed by dysphagia, so many experts recommend a partial fundoplication as an alternative. The goal of this study was to compare the clinical results and changes in esophageal function following laparoscopic total and partial fundoplication. Ninety-three patients with gastroesophageal reflux disease had laparoscopic antireflux operations. Total fundoplication was performed in 50 patients with normal ...
TY - JOUR. T1 - A learning curve for laparoscopic fundoplication. T2 - Definable, avoidable, or a waste of time?. AU - Watson, David I. AU - Baigrie, Robert J. AU - Jamieson, Glyn G. PY - 1996/8. Y1 - 1996/8. N2 - Objective The objective of this study was to determine whether a learning curve for laparoscopic fundoplication can be defined, and whether steps can be taken to avoid any difficulties associated with it.Summary Background Data Although early outcomes after laparoscopic fundoplication have been promising, complications unique to the procedure have been described. Learning curve problems may contribute to these difficulties. Although training recommendations have been published by some professional bodies, there is disagreement about what constitutes adequate supervised experience before the solo performance of laparoscopic antireflux surgery, and the true length of the learning curve.Methods The outcome of 280 laparoscopic fundoplications undertaken by 11 surgeons during a 46-month ...
TY - JOUR. T1 - Laparoscopic Fundoplication in Patients with a Hypertensive Lower Esophageal Sphincter. AU - Lamb, Peter J.. AU - Myers, Jennifer C.. AU - Thompson, Sarah K.. AU - Jamieson, Glyn G.. PY - 2009/1. Y1 - 2009/1. N2 - A small proportion of patients evaluated with manometry prior to a fundoplication have a high-pressure lower esophageal sphincter (LES). This paper examines the outcome of laparoscopic fundoplication for these patients. Between October 1991 and December 2006, 1,886 patients underwent primary laparoscopic fundoplication. Those with a high-pressure LES on preoperative manometry (LESP ≤30 mm Hg at end expiration) were identified from a prospective database. Long-term outcomes were determined using analogue symptom scores (0-10) for heartburn, dysphagia, and patient satisfaction and compared to those of a matched control group. Thirty patients (1.6%), nine men and 21 women, median age 51 years, had a hypertensive LES (mean, 36 mmHg; range, 30-55). Median follow-up after ...
TY - JOUR. T1 - A collective review of biological versus synthetic mesh-reinforced cruroplasty during laparoscopic Nissen fundoplication. AU - Castelijns, P. S. S.. AU - Ponten, J. E. H.. AU - van de Poll, M. C. G.. AU - Nienhuijs, S. W.. AU - Smulders, J. F.. PY - 2018/4/1. Y1 - 2018/4/1. KW - Biologic. KW - cruroplasty. KW - hiatal hernia. KW - laparoscopy. KW - mesh. KW - Nissen fundoplication. KW - synthetic. KW - HIATAL-HERNIA REPAIR. KW - GASTROESOPHAGEAL-REFLUX DISEASE. KW - PARAESOPHAGEAL HERNIA. KW - RANDOMIZED-TRIAL. KW - PROSTHETIC REINFORCEMENT. KW - POLYPROPYLENE MESH. KW - REDUCES RECURRENCE. KW - ANTIREFLUX SURGERY. KW - FOLLOW-UP. KW - CLOSURE. U2 - 10.4103/jmas.JMAS_91_17. DO - 10.4103/jmas.JMAS_91_17. M3 - Review article. VL - 14. SP - 87. EP - 94. JO - Journal of minimal access surgery. JF - Journal of minimal access surgery. SN - 0972-9941. IS - 2. ER - ...
Background: The aim of the study was to evaluate the results of laparoscopic Nissen fundoplication (LNF) with simultaneous percutaneous endoscopic gastrostomy (PEG) in children with gastroesophageal reflux (GER) disease documented by upper gastrointestinal contrast and/or pH monitoring and/or esophageal endoscopy. Methods: Fifteen LNF + PEGs were performed in children with pathologic antecedents: ten neurologically impaired children, two ORL (otorhinolaryngeal) pathologies. Two cases of AIDS, and one neuroblastoma. In one case, disruption of the fundoplication occurred during insufflation of the stomach. The child was reoperated on the 3rd day using an open procedure, so she was excluded from the results of the LNF. Results: Two children had postoperative complications: one with cardiac insufficiency, one case of dehydration. Fourteen LNFs were controlled at 3 months by gastroesophageal X-ray and pH-metry. The 14 gastroesophageal X-rays were normal in 12 cases; gastroesophageal reflux was present in two
A NIssen fundoplication is the definitive surgical treatment for GERD where medical therapy has failed and to acheive a permanent solution to the problem of acid reflux backup into the stomach.. During the Nissen fundoplication, the upper part of the stomach is wrapped around the LES to strengthen the sphincter, prevent acid reflux, and repair a hiatal hernia.. The Nissen fundoplication is usually performed as a laparoscopic (minimally invasive) procedure.The doctor uses small instruments that hold a camera to look at the abdomen and pelvis. When performed by experienced surgeons, laparoscopic fundoplication is safe and effective in people of all ages, including infants.. The procedure is reported to have the same results as the standard fundoplication, and people can leave the hospital in 1 to 3 days and return to work in 2 to 3 weeks. ...
A Nissen fundoplication, or laparoscopic Nissen fundoplication when performed via laparoscopic surgery, is a surgical procedure to treat gastroesophageal reflux disease (GERD) and hiatal hernia. In GERD, it is usually performed when medical therapy has failed; but, with a Type II (paraesophageal) hiatus hernia, it is the first-line procedure. The Nissen fundoplication is total (360°), but partial fundoplications known as Thal (270° anterior), Belsey (270° anterior transthoracic), Dor (anterior 180-200°), Lind (300° posterior), and Toupet fundoplications (posterior 270°) are alternative procedures with somewhat different indications and outcomes. Dr. Rudolph Nissen (1896-1981) first performed the procedure in 1955 and published the results of two cases in a 1956 Swiss Medical Weekly. In 1961 he published a more detailed overview of the procedure. Nissen originally called the surgery gastroplication. The procedure has borne his name since it gained popularity in the 1970s. In a ...
In this paper, we describe the first reported case of a laparoscopic Nissen fundoplication and gastrostomy tube for gastroesophageal reflux disease in a 3-month-old infant with complete abdominal situs inversus. © Mary Ann Liebert, Inc.
During this procedure, a portion of the upper stomach, known as the fundus, is wrapped around the lower part of the esophagus, essentially creating a compression sleeve that improves the function of the esophageal valve (LES). The stomach Is sutured in place for long-term results.. The Nissen fundoplication represents a 360° stomach wrap around the esophagus, however there are other fundoplications that including the Dor (front) and Toupet (back) fundoplication procedures that provide only partial coverage.. A partial or total fundoplication is typically reserved for patients that have not responded well to medical therapy or for whom drugs are no longer effective. Fundoplication is also the primary form of treatment for a paraesophageal hiatal hernia. Fundoplication (usually partial) may also be appropriate for patients who are at risk of developing GERD after a Heller Myotomy for the treatment of achalasia.. Most patients experience significant relief from their GERD symptoms after the ...
For day-case laparoscopic surgery to be successful, patient selection is of the utmost importance. This study aimed to assess the feasibility of day-case laparoscopic Nissen fundoplication and to identify factors that may lead to readmission and overstay ...
Postoperative Objective Outcomes for Upright, Supine, and Bipositional Reflux Disease Following Laparoscopic Nissen Fundoplication Academic Article ...
Laparoscopic magnetic sphincter augmentation with the LINX device achieved GERD symptom control comparable to that of laparoscopic Nissen fundoplication, according to retrospective study data.  “This is the first propensity-matched study comparing LINX [Torax Medical] to [laparoscopic Nissen fundoplication] assessing quality of life, proton-pump inhibitor use, satisfaction and
25 patients completed the ongoing survey (13.5%). There were no perioperative deaths or reoperations. One patient required conversion from laparoscopic to open procedure. Mean length of stay was 2.8 days. Mean operative time for all LHC with fundoplication was 135.9 minutes. Mean operative time for LHC with Toupet fundoplication was 136.5 (±30.91) minutes and LHC with Dor fundoplication was 128.9 (±32.44) minutes. There was no statistical difference in operative time for Toupet vs. Dor fundoplication (p=0.379). There was no difference between Dor and Toupet fundoplication with respect to incidence and severity of postoperative heartburn, dysphagia, and bloating based on analysis using a Student t-test. Overall satisfaction for Toupet was 94.4 % and 100% (p,0.999) for Dor fundoplication.. ...
Transoral incisionless fundoplication (TIF) was U.S. Food and Drug Administration-approved in 2007 to treat gastroesophageal reflux disease (GERD), but comparative data are lacking. This study was undertaken to compare outcomes for patients with GERD undergoing TIF versus laparoscopic Nissen or Toupet fundoplications. We undertook a case-controlled study of three cohorts of 20 patients undergoing TIF or laparoscopic Nissen or Toupet fundoplications from 2010 to 2013 controlling for age, body mass index, and preoperative DeMeester scores. All patients were prospectively followed.. Median data are reported. Patients undergoing TIF had significantly shorter operative times (in minutes: 71 vs 119 and 85, respectively, P\0.001) and length of stay (in days: 1, 2, and 1, respectively, P\0.001). No matter the approach, patients reported dramatic and similar reduction in symptom frequency and severity (e.g., heartburn 8 to 0, P\0.05). At follow-up, 83 percent of patients after TIF, 80 per cent after ...
TY - JOUR. T1 - Effects and efficacy of laparoscopic fundoplication in children with GERD. T2 - a prospective, multicenter study. AU - Mauritz, Femke A. AU - Conchillo, J M. AU - van Heurn, L W E. AU - Siersema, P D. AU - Sloots, C E J. AU - Houwen, R H J. AU - van der Zee, D C. AU - van Herwaarden-Lindeboom, M Y A. PY - 2017/3. Y1 - 2017/3. N2 - INTRODUCTION: Laparoscopic antireflux surgery (LARS) in children primarily aims to decrease reflux events and reduce reflux symptoms in children with therapy-resistant gastroesophageal reflux disease (GERD). The aim was to objectively assess the effect and efficacy of LARS in pediatric GERD patients and to identify parameters associated with failure of LARS.METHODS: Twenty-five children with GERD [12 males, median age 6 (2-18) years] were included prospectively. Reflux-specific questionnaires, stationary manometry, 24-h multichannel intraluminal impedance pH monitoring (MII-pH monitoring) and a13C-labeled Na-octanoate breath test were used for clinical ...
TY - JOUR. T1 - Laparoscopic fundoplication in the therapy of patients with gastroesophageal reflux disease.. AU - Slotwiner-Nie, P.. AU - Reinus, J. F.. N1 - Copyright: This record is sourced from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine. PY - 1999/11. Y1 - 1999/11. UR - http://www.scopus.com/inward/record.url?scp=0033227868&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0033227868&partnerID=8YFLogxK. U2 - 10.1111/j.1572-0241.1999.03367.x. DO - 10.1111/j.1572-0241.1999.03367.x. M3 - Article. C2 - 10566747. AN - SCOPUS:0033227868. VL - 94. SP - 3367. EP - 3368. JO - American Journal of Gastroenterology. JF - American Journal of Gastroenterology. SN - 0002-9270. IS - 11. ER - ...
Laparoscopic Nissen Fundoplication has established itself as the procedure of choice in the surgical management of the majority of patients suffering from gastroesophageal reflux disease (GERD). Postoperative paraesophageal herniation has incidence ranges up to 7% in the immediate postoperative period. This randomized controlled study was scheduled to investigate the role of the posterior gastropexy, in combination with laparoscopic Nissen fundoplication, in prevention of paraesophageal herniation and improvement of postoperative results, in surgical treatment of GERD ...
BACKGROUND: The goal of this study was to determine, in lung transplant patients, if laparoscopic antireflux surgery (LARS) is an effective means to prevent aspiration as defined by the presence of pepsin in the bronchoalveolar lavage fluid (BALF).. METHODS: Between September 2009 and November 2010, we collected BALF from 64 lung transplant patients at multiple routine surveillance assessments for acute cellular rejection, or when clinically indicated for diagnostic purposes. The BALF was tested for pepsin by enzyme-linked immunosorbent assay (ELISA). We then compared pepsin concentrations in the BALF of healthy controls (n = 11) and lung transplant patients with and without gastroesophageal reflux disease (GERD) on pH-monitoring (n = 8 and n = 12, respectively), and after treatment of GERD by LARS (n = 19). Time to the development of bronchiolitis obliterans syndrome was contrasted between groups based on GERD status or the presence of pepsin in the BALF.. RESULTS: We found that lung transplant ...
The prevalence of GERD has substantially increased in a few recent decades.8 This has been a common trend both in the Western countries and in Korea, making GERD one of the most common chronic benign diseases. According to a population-based study, it is estimated that 7.1% of Koreans experience GERD symptoms at least once a week.9 Although GERD prevalence in Korea is relatively lower than that in Western countries with the symptomatic prevalence of 20-25%,10 the disease has been regarded as an important health problem even in Korea because of the enormous nationwide cost of medication and poor QOL of GERD patients.. Since the indication of anti-reflux surgery for GERD is established well in Western countries, laparoscopic anti-reflux surgery is the most common surgical procedure for upper gastrointestinal tract diseases. However, in Korea, almost all GERD patients undergo drug therapy owing to lack of awareness of anti-reflux surgery. Both patients and healthcare providers are considering GERD ...
What are the most common complications of a nissen fundoplication for gerd - What are the most common complications of a nissen fundoplication for gerd? EARLY or LATE? Early complications include injury to the stomach, esophagus, or adjacent organs (spleen). Late complications may be due to the wrap being too tight (difficulty swallowing, gas-bloat syndrome) or too loose (persistent reflux). Rarely, nerve injury can lead to diarrhea and/or poor emptying of the stomach.
The standard surgical treatment for severe GERD is the Nissen fundoplication. In this procedure, the upper part of the stomach is wrapped around the lower esophageal sphincter to strengthen the sphincter and prevent acid reflux and to repair a hiatal hernia.[52] It is recommended only for those who do not improve with PPIs.[33] Quality of life is improved in the short term compared to medical therapy, but there is uncertainty in the benefits over surgery versus long-term medical management with proton pump inhibitors.[53] When comparing different fundoplication techniques, partial posterior fundoplication surgery is more effective than partial anterior fundoplication surgery,[54] and partial fundoplication has better outcomes than total fundoplication.[55] Esophagogastric dissociation is an alternative procedure that is sometimes used to treat neurologically impaired children with GERD.[56][57] Preliminary studies have shown it may have a lower failure rate[58] and a lower incidence of recurrent ...
Background We present a case of a morbidly obese patient with previous laparoscopic Nissen fundoplication (LNF) who was successfully treated by revision to a laparoscopic Roux-en-Y gastric bypass...
3. Controlled on 20 - 40 mg/day maintenance PPI therapy prior to study, defined as GERD symptom score less than 25 and score of 70 or more on 1 - 100 Global Rating Scale at ...
Today the surgeons performed the Laparoscopic splenectomy using the lateral Approach. The anterior approach is not used much these days.  Dissection for a ...
Acid reflux can cause heartburn or acid in your mouth. The acid can cause the lining of your oesophagus to become inflamed or scarred. Surgery may be recommended if your symptoms continue while you are taking medication.
ConclusionBariatric surgery is possible after fundoplication without taking down the fundoplication. It appears to be a viable alternative in patients seeking weight loss surgery after fundoplication, which is currently assumed contraindicated....
The purpose of this study was to: 1) determine the procedural steps necessary for completion of a laparoscopic Nissen fundoplication through expert opinion, 2) to validate and determine the reliability of a procedural checklist assessment tool as a measurement of technical skill, and 3) to propose a model for future development of surgical skill assessment instruments.; A behavioral task analysis was conducted using five national surgical experts to deconstruct the procedural steps of a laparoscopic Nissen fundoplication. A modified Delphi technique was used to facilitate group opinion to reach consensus on the 65 task steps of this advanced surgical procedure. Results however were inconclusive. Following a final group interview of all experts, the resulting procedural checklist is comprised of 28 steps that are considered essential, 32 that are considered recommended and 5 that are defined as optional. This process created a valid procedural checklist, but the advanced nature of the operative ...
Idiopathic pulmonary fibrosis (IPF) is a chronic progressive lung disease of unknown cause and increasing prevalence in the United States. An estimated 100,000 Americans will die from IPF this year, and aside from lung transplantation, which only 1% will receive, there is no FDA-approved therapy. Over the last decade, a potential role for gastro-esophageal reflux (GER) and microaspiration in the progression of IPF has been suggested. Both acid and non-acid reflux are likely important, and preliminary data from IPF patients suggest an increased benefit of laparoscopic fundoplication over medical antacid therapy alone in slowing disease progression. Laparoscopic fundoplication has been safely performed in patients with IPF and other forms of advanced lung disease awaiting lung transplantation. These data provide a compelling argument for a trial of laparoscopic fundoplication in patients with IPF and associated GER. In the clinical proposal, we hypothesize that the reduction of abnormal GER with ...
Journal of Obesity is a peer-reviewed, Open Access journal that provides a multidisciplinary forum for basic and clinical research as well as applied studies in the areas of adipocyte biology & physiology, lipid metabolism, metabolic syndrome, diabetes, paediatric obesity, genetics, behavioural epidemiology, nutrition & eating disorders, exercise & human physiology, weight control and health risks associated with obesity.
Evaluate the prevalence of bronchial responsiveness (BHR) among patients with gastroesophageal reflux disease (GERD).. Investigate correlation between bronchial reactivity and the severity of GERD, and similarly investigate the correlation between exhaled nitric oxide (NO) and the severity of GERD.. Compare the effects of esomeprazole 40 mg twice daily and Nissen fundoplication on bronchial reactivity, exhaled NO, pulmonary function and quality of life. ...
About the TIF Procedure Benefits of TIF: Incisionless approach means no scars No internal cutting or dissection of the natural anatomy-faster recovery Fewer adverse events and complications than conventional antireflux surgery Can be revised if required Does not limit future treatment options [1] The Transoral Incisionless Fundoplication (TIF) is a surgical procedure performed through the mouth and without incisions; it employs the EsophyX device to create an esophagogastric fundoplication that is up to 270° and 3cm in length. A unique form of Natural Orifice Surgery (NOS), TIF represents the next step in the field of minimally invasive surgery and the treatment of GERD. Transoral - TIF is performed from within the GI tract with the EsophyX device inserted through the patients mouth Incisionless - There are no incisions resulting in reduced discomfort, faster recovery, and higher patient satisfaction Fundoplication - EsophyX enables manipulation and plication of the fundus (part of the
This medical animation shows a traditional (open) Nissen fundoplication surgery and minimally invasive procedure (MIP) for gastroesophageal reflux disorder (GERD), a disease causing severe heartburn with esophagus pain and inflammation.
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Nissen fundoplication is an acid reflux surgical procedure used to treat gastro-esophageal reflux (GERD), a digestive tract disorder.
The outcome of antireflux surgery in a single institution during two decades is presented.. 101 consecutive patients operated with open partial2 70° fundoplication and crural repair during 1982-1989 were prospectively analysed. All stages ofpreoperative oesophagitis were represented. Reflux competence, symptomatology, and postoperative side-effects were evaluated six months and ten years postoperatively. Recurrence (8%) was more common in patients who had severe oesophagitis before operation. The operative method is effective for long-term reflux control, it does not cause dysphagia, and it has few side-effect. Some months prior to the introduction oflaparoscopic fundoplication our unit had changed from partial to total fundoplication as a standard operation for gastro-oesophageal reflux disease (GORD). It was then convenient to perform the total Nissen fundoplication laparoscopically. All 50 patients operated with laparoscopic technique during a 30-months period 1992-1994 were prospectively ...
Learn about pediatric Nissen fundoplication procedure from the Cleveland Clinic, including information about Gastroesophageal Reflux (GERD) in children.
The researchers studied objective outcomes by esophageal manometry, 24-hour pH monitoring, barium oesophagram series and upper endoscopy.. The team found that operating time, blood loss, postoperative pain scores, hospital stay and complication rates did not differ between the 2 groups.. Reoperation rates were the same between the groups.. The team noted that postoperative self-rated change in reflux symptoms and quality of life improved equally in both groups.. The reduction in esophageal acid exposure, and increase in lower esophageal sphincter tone were similar in both groups.. The researchers observed that mucosal healing was comparable in both groups at follow-up.. Dr Draaismas team concludes , Robot-assisted Nissen fundoplication yielded similar subjective and objective results to laparoscopic Nissen fundoplication in this study. Therefore no additive value of robotic systems for this procedure was detected up to 6 months after surgery. ...
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In 2004, a study published by Masclee et al, in the Annals of Surgery showed that laparoscopic fundoplication increases gastric emptying independent of vagal nerve function. The authors nicely showed that 10% of fundoplication patients developed vagal nerve dysfunction post-operatively without affecting gastric emptying or the efficacy of fundoplication in controlling acid reflux. The etiology of gastric stasis is following Nissen surgery remains unclear. There are no established treatment guidelines for gastroparesis. Medications, gastric pacing and drainage procedures are not effective solutions. Subtotal gastrectomy and gastric bypass are associated with poor outcomes. Longitudinal gastrectomy with or without duodeno-jejunostomy seems to be very effective in curing gastroparesis. I have developed this technique several years ago and I have had the chance to apply it on 4 patients so far. Last year, a young man with gastroparesis following fundoplication surgery at an outside institution ...
The gold standard for achalasia is surgical correction via laparoscopic Heller myotomy with a partial fundoplication. The goal of this technical report is
Medical definition of Nissen fundoplication: fundoplication in which the fundus of the stomach is wrapped completely around the lower end of the…
TRULLENQUE JUAN, R. et al. Surgery for gastroesophageal reflux disease: a comparative study between the open and laparoscopic approaches. Rev. esp. enferm. dig. [online]. 2005, vol.97, n.5, pp.328-337. ISSN 1130-0108.. Objective: given the demonstrated effectiveness of medical treatment together with the eminent acceptance of the laparoscopic approach, the indications of surgery in the treatment of gastroesophageal reflux disease (GERD) are currently subject to continuous controversy. To participate in this debate, we have the following work hypothesis: The results of the 360º short and floppy laparoscopic fundoplication are superior to those of open surgery. Clinical design: prospective, clinical, non-randomized study. Patients: our work was developed between November 1991 and December 1998 by means of a prospective, non-randomized clinical rehearsal with two groups of patients: -Group I (n = 75): 360° short and floppy laparoscopic fundoplication in Hospital Dr. Peset, Valencia (Spain). ...
TY - JOUR. T1 - Paraesophageal hernia repair in the emergency setting. T2 - is laparoscopy with the addition of a fundoplication the new gold standard?. AU - Klinginsmith, Michael. AU - Jolley, Jennifer. AU - Lomelin, Daniel. AU - Krause, Crystal. AU - Heiden, Jace. AU - Oleynikov, Dmitry. PY - 2016/5/1. Y1 - 2016/5/1. N2 - Background: Laparoscopic repair of paraesophageal hernia (PEH) with fundoplication is currently the preferred elective strategy, but emergent cases are often done open without an anti-reflux (AR) procedure. This study examined PEH repair in elective and urgent/emergent settings and investigated patient characteristic influence on the use of adjunctive techniques, such as AR procedures or gastrostomy tube (GT) placement. Methods: Utilizing the University HealthSystem Consortium Clinical Database Resource Manager, selected discharge data were retrieved using International Classification of Disease 9 diagnosis codes for PEH and procedure specific codes. Chi-squared and paired t ...
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1. Suspicion of an Anastomotic Problem after Esophageal Resection for Cancer -- 2. Cervical Leakage of an Oesophago-Gastric Conduit Anastomosis -- 3. Thoracic Duct Injury -- 4. Postoperative Hiatal Herniation after Esophageal Resection -- 5. Benign Stenosis of the Intrathoracic and Cervical Esophagogastric Anastomosis after Esophagectomy -- 6. Recurrent Nerve Lesion (Double) As a Consequence of Esophageal Resection for Cancer -- 7. Trachea-Gastric Conduit Fistula after Esophageal Resection -- 8. Herniation of the Stomach into the Thorax after Laparoscopic Repair of a Type 3 Para-Esophageal Hernia -- 9. Dysphagia after Laparoscopic Nissen Fundoplication -- 10. Iatrogenic Esophageal Perforation -- 11. Peritonitis after Unrecognized Perforation Following Heller Myotomy and Dor Fundoplication for Achalasia -- 12. Esophagojejunostomy Leakage Following Extended Total Gastrectomy -- 13 -- Leakage of the Duodenal Stump Following Gastrectomy -- 14.Re-Bleeding after Repair of Bleeding Duodenal Ulcer -- ...
Childhood-to-adult persistent asthma is usually considered to be an atopic disease. However gastroesophageal reflux may also play an important role in this phenotype of asthma, especially when it is refractory to pulmonary medicine. Fifty-seven consecutive GERD patients who had decades of childhood-to-adult persistent asthmatic symptoms refractory to pulmonary medication were enrolled. GERD was assessed by a symptom questionnaire, endoscopy, reflux monitoring, and manometry, and treated by Stretta radiofrequency (SRF) or laparoscopic Nissen fundoplication (LNF). The outcomes were followed up with a questionnaire for an average of 3.3 ± 1.1 years. Upper esophageal sphincter hypotonia, lower esophageal sphincter (LES) hypotonia, shortened LES, and esophageal body dyskinesia were demonstrated by esophagus manometry in 50.9%, 43.9%, 35.1%, and 45.6% of the patients, respectively. The symptom scores for heartburn, regurgitation, coughing, wheezing, and chest tightness significantly decreased from 5.8 ± 2.0
ABSTRACT Objective To determine the relative benefits and risks of laparoscopic fundoplication surgery as an alternative to long term drug treatment for chronic gastro-oesophageal reflux disease (GORD). Design Multicentre, pragmatic randomised trial (with parallel preference groups). Setting 21 hospitals in the United Kingdom. Participants 357 randomised participants (178 surgical,179 medical) and 453 preference participants (261, 192); mean age 46; 66% men. All participants had documented evidence of GORD and symptoms for ,12 months. Intervention The type of laparoscopic fundoplication used was left to the discretion of the surgeon. Those allocated to medical treatment had their treatment reviewed and adjusted as necessary by a local gastroenterologist, and subsequent clinical management was at the discretion of the clinician responsible for care. Main outcome measures The disease specific REFLUX quality of life score (primary outcome), SF-36, EQ-5D, and medication use, measured at time points ...
Background/Purpose: Recurrent gastroesophageal reflux disease (rGERD) is a common problem after fundoplication. Previous studies attempting to identify risk factors for rGERD have failed to control for confounding variables. The purpose of this study was to identify significant risk factors for rGERD after controlling for potential confounding variables. Methods: A retrospective, matched case-control study was conducted at a tertiary childrens hospital. Cases (n = 116) met 1 of these criteria: reoperation for rGERD, symptomatic rGERD (confirmed by upper gastrointestinal series, esophagogastroduodenoscopy, or pH monitoring), or postoperative reinstitution of antireflux medication for more than 8 weeks. Controls (n = 209) were matched for surgeon, approach (laparoscopic/open), technique (partial/complete), and approximate operative date. Univariate and multivariable associations were analyzed by conditional logistic regression. Results: Significant risk factors for rGERD were age of less than 6 ...
The team assessed 96 patients who underwent endoscopic argon plasma coagulation with adequate acid suppression .. Acid suppression was obtained through a continuous omeprazole therapy in 50 patients, or through laparoscopic fundoplication in 46 patients.. The team observed that complete ablation was achieved in 94 patients who underwent follow-up.. Endoscopic and histological examinations were performed every 12 months.. The researchers noted that the median follow-up of the patients was 36 months.. The team observed a recurrence of intestinal metaplasia in 18% of patients, with an annual recurrence rate of 6%. The researchers found neither dysplasia, nor adenocarcinoma during the follow-up.. After further analysis, the team found that previous laparoscopic fundoplication was associated with a reduced recurrence rate of intestinal metaplasia.. Dr Ferraris team commented, The long-term recurrence of intestinal type Barretts esophagus was low after complete ablation with argon plasma ...
The effect of laparoscopic fundoplication on reflux-related chronic cough is unpredictable, the aim of the study is to investigate the predictive effect of positive reflux-cough correlation on the resolution of reflux-related chronic cough after anti-reflux surgery. A 5 years retrospective review was performed. Logistic regression analysis was used to determine the independent predictors on the cure of chronic cough. Seventy-nine patients were included in this study, among which chronic cough was cured in 47 (59.5%) and significantly improved in 10 (12.7%) patients. Present of typical symptoms (odds ratio = 6.435,95% confidence interval [CI] = 1.427-29.032, p = 0.015) and number of Reflux episodes (impedance) ≥73 (odds ratio = 0.306, 95% confidence interval [CI] = 0.107-0.874, p = 0.027) were significantly associated with the cure of chronic cough. laparoscopic fundoplicaiton is effective for the management of reflux-related chronic cough, particularly with the present of typical symptoms. (Trial
Esophyx Procedure Reduces Heartburn For Some. For Others The Results Vary. Update: It appears EndoGastric Solutions is in some hot water from the FDA regarding the device malfunctioning, as well as marketing the device as being reversible when in most(?)/many(?) cases it is not. There is also some legal action taking place as well.. Just read about the Esophyx procedure on NBCs Dallas Fort Worth website. The procedure is offered as an alternative to Nissen Fundoplication. The goal is to resolve acid reflux symptoms by strengthening the Lower Esophageal Sphincter valve.. Nissen Fundoplication is usually done via laparoscopic surgery, which means one or more incisions are made and a tiny camera is used through these incisions to guide the surgeon. The surgeon wraps part of the stomach around the LES valve and then staples it together so it holds tight around the LES. In some cases mesh devices are needed to help hold the stomach in place. Overall it is a serious procedure with side effects being ...
BISAC: MED031000. Gastroesophageal reflux disease (GERD) is a common disorder affecting approximately more than 10% of the population. GERD is highly heterogeneous in terms of varied manifestations, test findings and treatment responsiveness. The invasive treatment options for GERD have now greatly expanded from just the Nissen Fundoplication to various other options such as other minimally invasive options like the Lower Esophageal augmentation with a magnetic device, and multiple endoscopic options like Radiofrequency ablation, Trans-oral incisionless fundoplication (TIF) etc.. Treatment options require an understanding of the patho-physiology of GERD, which is discussed in chapter one of this book. Chapter two studies the clinical practices for extra-esophageal reflux and explores the outcomes. Chapter three reviews extraesophageal reflux and sleep microarchitecture disturbance and excessive daytime sleepiness. Chapter four discusses osteopathic manipulative therapy. The final chapter ...
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Quality of life (QoL) is getting more attention in the medical literature. Treatment outcomes are now gauged by their effect on the QoL along with their direct effect on the diseases they are targetin
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Preoperatively, 33 (72%) of 46 patients had small (,3 cm) hiatal hernias, and none had undergone any previous antireflux procedures. Preoperative workup included manometry and barium esophagogram, with pH testing reserved for patients with atypical symptoms or typical symptoms and a lack of response to proton-pump inhibitors. The mean procedure time was 83 minutes (range, 36-180 minutes). The mean procedure time decreased after the first 5 cases from 122 to 78 minutes (P = .001). Mean length of stay was 1.3 days. One patient was readmitted with aspiration pneumonia. Three patients had minor complications (1 had minor bleeding from a suture site and 2 had urinary retention). There were no perioperative deaths. Mean follow-up was 140 days. The mean GERD-HRQL scores improved significantly (23 vs 7; P , .001). There were 22 patients with follow-up greater than 90 days (mean follow-up, 240 days). GERD-HRQL scores remained significantly improved for these patients (23 vs 8; P = .001). Four patients ...
Advanced laparoscopic procedures including hernias, cholecystectomy and gallstone disease, antireflux procedures and Nissen fundoplications, splenectomy, adrenalectomy, minimal access surgery, pancreatic and biliary surgery, minor operations, lumps and bumps surgery ...
TY - JOUR. T1 - Diagnosis and treatment of respiratory symptoms of initially unsuspected gastroesophageal reflux in infants. AU - Krishnamoorthy, M.. AU - Mintz, A.. AU - Liem, Timothy. AU - Applebaum, H.. PY - 1994. Y1 - 1994. N2 - Gastroesophageal reflux (GER) in infants is most commonly thought of as repeated excessive vomiting and failure to thrive, with most infants responding favorably to medical therapy. However, GER may also manifest exclusively with a variety of respiratory symptoms that, if not detected and treated early, may lead to life-threatening complications. During the period of 1987 to 1992, 39 neonates and infants underwent Nissen fundoplication for the treatment of respiratory symptoms attributed to GER. Symptoms included apnea and bradycardia (64%), pneumonia (31%), cyanosis (28%), cough (18%), and stridor (15%). Most patients were ascribed at least one incorrect diagnosis to explain respiratory symptoms. These include apnea of prematurity (38%), bronchopulmonary dysplasia ...
In children with gastroesophageal reflux (GER) disease refractory to pharmacological therapies, anti-reflux surgery (fundoplication) may be a treatment of last resort. The applicability of fundoplication has been hampered by the inability to predict which patient may benefit from surgery and which patient is likely to develop post-operative dysphagia. pH impedance measurement and conventional manometry are unable to predict dysphagia, while the role of gastric emptying remains poorly understood. Recent data suggest that the selection of patients who will benefit from surgery might be enhanced by automated impedance manometry pressure-flow analysis (AIM) analysis, which relates bolus movement and pressure generation within the esophageal lumen ...
Idiopathic achalasia is a primary motility disorder of the esophagus that results in dysphagia, weight loss, and impaired quality of life. Several treatment options are available to gastroenterologists, and insights on the long-term outcome of these modalities are discussed.Peroral endoscopic myotomy (POEM) represents a novel endoscopic technique in the treatment of achalasia. Studies on long-term outcomes and comparison to other well-known treatment modalities such as laparoscopic Heller myotomy (LHM) and pneumodilation have recently been published. POEM and LHM both have excellent 2-year success rates for relieving achalasia symptoms, but reflux disease and erosive esophagitis are more prevalent following POEM.Several treatment modalities with excellent long-term outcomes are available for the treatment of achalasia. The different options should be discussed with patients and treatments should be tailored to their individual needs ...
Att opereras via titthålskirurgi eller öppen kirurgi med en operationsteknik som förhindrar sura uppstötningar och halsbränna - en slumpmässig jämförande studie från ett patientperspektiv Utdrag ur avhandlingen Laparoscopic or open surgery - A comparative study with special reference to the patient's perspective av Gunilla Nilsson Vad är problemet? Gastroesofageal reflux definieras som tillbakaflöde (reflux = återflöde/tillbakaflöde) av maginnehåll upp i matstrupen, (gastro = mage, esofagus = matstrupe). Vanliga symtom är sura uppstötningar, halsbränna och bröstsmärta. Refluxbesvär är mycket vanligt förekommande i den vuxna populationen i västerlandet, sura uppstötningar eller halsbränna har de flesta råkat ut för någon gång. Orsaker till sjuklig reflux kan vara lågt tryck i nedre delen av matstrupen (dålig ventilmekanism), att nedre delen av matstrupen i bukhålan är för kort (hos friska ca 1-3 cm) eller nedsatt motorik i matstrupen. När reflux ökar och ...
The treatment for achalasia changed dramatically after the introduction of minimally invasive surgery. Since 1991, laparoscopic Heller myotomy (LHM) has replaced pneumatic dilatation (PD) as the primary form of treatment in many centers. Over time, PD became safer, and eventually endoscopic experts were able to perform an endoscopic myotomy via a per oral endoscopic myotomy (POEM). This article reviews the advantages and disadvantages of each technique. Ultimately, the best outcomes are obtained by a multidisciplinary team that can tailor a specific treatment to each individual patient.
The typical surgical remedy for significant GERD is definitely the Nissen fundoplication. Within this method, the upper Portion of the belly is wrapped round the decrease esophageal sphincter to improve the sphincter and forestall acid reflux and to fix a hiatal hernia.[29] It is suggested only for those who do not make Acid Reflux Symptoms improvements to with PPIs ...
Demander du viagra a son medecin - Stress incontinence is the appearance of which are medecin du demander viagra a son necessary patient above the false-negative rate outside the office under local or laparoscopic heller myotomy at 1 year to make conclusive statements. Conversely, tumors with infiltrating lymphocytes, muci- diagnosis confirmed by others that it reduced many patients with severe obesity. Patients with cen- perium.
Low-dose THC drinks fit the bill perfectly. Heartburn also called Nissen fundoplication, which reinforces the potential is huge. Zaina Hamza is a symptom of an anti-aging diet. Kalmi Saag.. Acid, reflux explains Diana Sugiuchi R.D.N., founder of Nourish Family Nutrition. decade3d Getty Images Stress has a mild sedative to help me cope. Stomach or bloating. base of EMT phenotype collagen synthesis, and extracellular matrix (ECM) protein that carries food. Methotrexate can control the amount at each feed will likely prescribe you an in-depth. Unsalted nuts and base like lentils, black beans chickpeas, or red, potatoes. FLEXIBLE and FOLDABLE - the massage hands perform deep tissue massage on a lifelong basis.. Acid from your skull, it base on the line by Axel Witsel drop. Ventralized anterior-foregut spheroids were collected from people with these phase 3 not our phase. base was performed to objectively definitively determine if a nutritional supplement, recently introduced to. Blunted lines ...
A 52-year-old man was referred in March 2006 to the defendant, a general surgeon, for evaluation of recurrent GERD. He had undergone a successful surgical procedure for the condition, known as a Nissen fundoplication, seven years earlier ...
I was filled with tubes. I had IVs in my neck, a tube draining my urine and what felt like a fire-hose coming out of my nose. My mother and my husband were by my side as I underwent my first big contrast study after the Nissen Fundoplication. When the test was done, they offered to wheel me to my room in order to avoid the long wait for transport. The test had been done in the basement of the hospital, many floors and a few wings away from the safety of my private room. Getting back proved to be a challenge.. My husband was pushing the wheelchair and my mother manned the IV pole. Sometimes, the long IV tubes would get caught in the wheelchair. It was a much more difficult endeavor than either one had anticipated. With caution they made their way through the hospital and we ended up in the familiar territory of the main hospital lobby. This lobby stretches along the entire front of the hospital and leads to the elevators that would take us back to my room. I had never noticed it until that day, ...
If youre wondering how I could possibly have more updates for you in such a short amount of time, I am too! Life has been busy, but we like it that way. Karis had her Barium swallow study this morning and aspirated (choked) pretty significantly on thin liquids (like a water or juice consistency) but…
Per-oral oesophageal myotomy (POEM) is an increasingly-used technique to treat achalasia, in the place of the more traditional open myotomy with fundoplication.
Intraluminal endoscopic acid reflux surgery is another acid reflux surgery that most patients prefer. This surgical procedure has the same procedure as the fundoplication except that it involves a small optical, tubular instrument that is needed to be inserted in the body and at the same time, view the inner parts of the body that needs surgical or biopsy attention thus allowing an actual biopsy or surgery to be performed. This is possible through the so called endoscope. Intraluminal endoscopic acid reflux surgery is quick and has minimal risks for the patients. As such, a post-operatory treatment is not required but allows possibly fast recovery for patients as well. ...
/CNW/ -- Mederi Therapeutics has announced educational activities on Stretta Therapy for Gastroesophageal Reflux Disease (GERD) that will take place at...
Anthony has never had a very good airway. When he first joined our family in 2000, I remember listening to him snore while sleeping and thinking he may need a tracheostomy some day. But we managed his airway with positioning, occasional oral suctioning and Anthonys nice strong cough. Even though he did sometimes have trouble handling his own saliva, he was always able to clear his lungs with a cough. In 2006, he had a spinal fusion (lots of posts about this surgery if you search some of the earliest posts on this blog). The fusion was for his scoliosis and the surgery was very successful. His orthopedic surgeon was very happy with his nice straight spine. Problem is that the surgery and/or straightening seemed to make his gastric reflux worse. Maybe his old fundoplication unwrapped or just having a straighter esophagus was enough to bring stomach content up to the back of his throat. Again, his strong cough helped, but over time, it got harder and harder for him to tolerate his G-tube feedings. ...
An apparatus for the transoral invagination and fundoplication of the stomach to the esophagus includes a clip applier having sharp toothed jaws for grasping and damaging the fundus prior to applying the clip. The clip applier has an overall diameter of less than 7 mm. The clip applier jaws are coupled to a pull wire via a linkage which increases the mechanical advantage and thus permits greater grasping force. A plurality of clip designs are also provided.
You my little one, have been through SO SO much in a short 365 days. You have seen roughly 4.2 months in the hospital - that totals out to 127 days of your first year. This includes a 3 month NICU stay, a month PICU stay, countless stays for gut issues/dehydration and not tolerating your feeds. Youve been in cardiogenic shock, reportedly having seizures due to blood on the brain, more jaundiced than most babies while stooling white with liver issues, which landed us in OKC with a liver specialist and a near surgery to help with your liver issues. Youve vomited feeds repeatedly earning you a G Tube with fundoplication, youve stooled blood countless times due to an undiagnosed milk protein allergy for the first six months of life. Two open heart surgeries are on that list, as well as almost every scan and test under the sun, ranging from a simple x-ray to sweat test for Cystic Fibrosis, HIDA scan, upper and lower scopes, Ultrasounds, MRIs, and gobs of echoes. You have been under anesthesia ...
Stretta therapy is a non-invasive outpatient procedure that significantly reduces GERD symptoms through the use of radiofrequency energy. Normally...
One surgical procedure used is called Nissen fundoplication. In fundoplication, the gastric fundus (upper part) of the stomach ... If the condition does not improve with medications, a surgery to carry out a laparoscopic fundoplication may be an option. ... "Laparoscopic nissen fundoplication" (PDF). Migaczewski M, Pędziwiatr M, Matłok M, Budzyński A (2013). "Laparoscopic Nissen ... With proper patient selection, laparoscopic fundoplication recent studies have indicated relatively low complication rates, ...
Multiple failed nissen fundoplication surgeries. Roux-en-Y reconstruction following partial or complete gastrectomy for stomach ...
It is similar to the Nissen fundoplication. Though far less common owing to a greater degree of difficulty, studies indicate a ...
The Nissen fundoplication, a surgical procedure for the treatment of gastroesophageal reflux disease, is named after him. ... Schein, Moshe, Schein, Heidi and Wise, Leslie (1999). "Rudolf Nissen: The man behind the fundoplication". Surgery. 125 (3): 347 ...
Additionally an operation known as a Nissen fundoplication can reduce the reflux of acid from the stomach into the esophagus. ... February 2004). "Barrett's esophagus: the role of laparoscopic fundoplication". The Annals of Thoracic Surgery. 77 (2): 393-6. ...
When medical management fails, Nissen fundoplication can be offered. However, patients should be advised that surgery may not ...
In Dor or anterior fundoplication, which is the most common method, part of the stomach (the fundus) is laid over the front of ... Nissen or complete fundoplication (wrapping the fundus all the way around the oesophagus) is generally not considered advisable ... Therefore, this surgery is often combined with partial fundoplication to reduce the incidence of postoperative acid reflux. ... In Toupet or posterior fundoplication, the fundus is passed around the back of the oesophagus instead. ...
It has been suggested as an alternative to Nissen fundoplication for these cases. Preliminary studies have shown it may have a ... an alternative to fundoplication?". Journal of Pediatric Surgery. 40 (6): 915-919. doi:10.1016/j.jpedsurg.2005.03.004. ISSN ... "Esophagogastric dissociation versus fundoplication: Which is best for severely neurologically impaired children?". Journal of ...
When comparing different fundoplication techniques, partial posterior fundoplication surgery is more effective than partial ... anterior fundoplication surgery, and partial fundoplication has better outcomes than total fundoplication. Esophagogastric ... Compared to Nissen fundoplication procedures, the procedure has shown a reduction in complications such as gas bloat syndrome ... The standard surgical treatment for severe GERD is the Nissen fundoplication. In this procedure, the upper part of the stomach ...
Together they have four children.[citation needed] Rudolf Nissen and the World Revolution of Fundoplication. Johann Ambrosius ... "Rudolf Nissen and the World Revolution of Fundoplication"". The European Journal of Surgery. 166 (9): 750. doi:10.1080/ ... inventor of the Nissen fundoplication. Liebermann-Meffert married Eduard Karl Heinz Liebermann. ...
The Nissen fundoplication procedure consists of a 360 degree transabdominal fundoplication. A fundoplication is the suturing of ... Is Laparoscopic Always Best Fundoplication Surgery for Gastroesophageal Reflux Disease (GERD) Fundoplication Surgery for ... The Nissen fundoplication procedure was first performed by Rudolph Nissen in 1955. A laparoscopic hernia repair is when the ... Among them are the Nissen Fundoplication and the general laparoscopic hernia repair. There are two types of hiatal hernias. The ...
"The role of laparoscopic fundoplication in Barrett's esophagus". Annals of Thoracic Surgery. 77 (2): 393-96. doi:10.1016/S0003- ... Additionally an operation known as a Nissen fundoplication can reduce the reflux of acid from the stomach into the esophagus.[ ...
... partial posterior fundoplication surgery is more effective than partial anterior fundoplication surgery,[54] and partial ... Compared to Nissen fundoplication procedures, the procedure has shown a reduction in complications such as gas bloat syndrome ... 2004). "The role of laparoscopic fundoplication in Barrett's esophagus". Annals of Thoracic Surgery. 77 (2): 393-6. doi:10.1016 ... In those with symptoms that do not improve with PPIs surgery known as transoral incisionless fundoplication may help.[61] ...
Gas bloat syndrome, a complication of Nissen fundoplication surgery. Computing[edit]. *Code bloat, computer code that is ...
2002) Laparoscopic fundoplication reduce recurrence of Barret's esophagus and may reverse metaplasia (2006). Preliminary ... Under his leadership doctoral thesis on topics of laparoscopic appendectomy, laparoscopic fundoplication, laparoscopic bile ... fundoplication, liver, pancreas, gastric, bowel, colon resections, portal vein ligations, gasto-yeyunostomy, splenectomy, ...
... and a Nissen fundoplication. On August 27, 2013, Murnaghan returned home from Children's Hospital of Philadelphia, where she ...
The two doctors successfully completed a laparoscopic Nissen fundoplication surgery on a patient named Claudette Fortier. In ...
Barrett's esophagus, fundoplication, andcâncer. World J Surg. 2007;31:447-9. *^ Nissen R (1961). Gastropexy and Fundoplication ... Long-term quality-of-life assessment of gastrointestinal symptoms before and after laparoscopic Nissen fundoplication. ...
The most recommended fundoplication to complement Heller myotomy is Dor fundoplication, which consists of a 180- to 200-degree ... "Randomized controlled trial of laparoscopic Heller myotomy plus Dor fundoplication versus Nissen fundoplication for achalasia: ... A partial fundoplication or "wrap" is generally added in order to prevent excessive reflux, which can cause serious damage to ... The shortcoming of laparoscopic esophageal myotomy is the need for a fundoplication. On the one hand, the myotomy opens the ...
Fundoplication is stomach surgery in which the fundus is wrapped around the lower esophagus and stitched into place. It is used ...
Tracheotomy Dental surgery Diagnostic endoscopy Nissen fundoplication Other surgical procedures are available to try to help ...
If the symptoms do not improve with medications, a surgery known as laparoscopic Nissen fundoplication may be an option. About ...
... trial assessing the effect of heated carbon dioxide for insufflation on pain and recovery after laparoscopic fundoplication". ...
Patients with a positive impedance-pH monitoring test may benefit from acid-reduction therapy such as fundoplication surgery or ... endoscopic fundoplication techniques. Pritchett JM, Aslam M, Slaughter JC, Ness RM, Garrett CG, Vaezi MF (March 2009). " ...
World's smallest patient (Nissen fundoplication in a 5.7 pound infant) to undergo gastric reflux surgery using the da Vinci ...
... for the endoscopic treatment of gastro-oesophageal reflux disease as an alternative to laparoscopic Nissen fundoplication. ...
ISBN 978-0-12-803685-3. Yuan N, Wang CH, Trela A, Albanese CT (June 2007). "Laparoscopic Nissen fundoplication during ...
Nissen fundoplication, cryoablation renal tumor, and Heller myotomy. The D'Arrigo Family Specialty Services offers a wide range ...
Placement of a feeding tube, fundoplication, and surgeries to correct hernias or other gastrointestinal structural problems are ...
Satisky K.F. (2006) Transabdominal Nissen Fundoplication. In: Hoballah J.J., Scott-Conner C.E.H. (eds) Operative Dictations in ...
Learn about fundoplication, a surgical procedure to treat GERD (gastroesophageal reflux disease) and heartburn symptoms. The ... home/digestion health center/digestion a-z list/fundoplication center/fundoplication article ... Fundoplication - Effectiveness Did fundoplication successfully treat your GERD? Please share your experience. ... During the fundoplication procedure, the part of the stomach that is closest to the entry of the esophagus (the fundus of the ...
Fundoplication definition at Dictionary.com, a free online dictionary with pronunciation, synonyms and translation. Look it up ... fundoplication in Medicine Expand. fundoplication fun·do·pli·ca·tion (fŭndō-plĭ-kāshən). n. The surgical procedure of tucking ...
My docs are wanting predetermination for an endoscopic fundoplication. I do not have the dictation yet for the office visit. ... Endoscopic Fundoplication 43280 Laparoscopy, surgical esophagogastric fundoplasty (eg, Nissen, Toupet procedures). 43281 w/ ... I think there is n direct code for Endoscopic fundoplication, need to use unlisted procedure.... Regards,. Nalini CPC ... My docs are wanting predetermination for an endoscopic fundoplication. I do not have the dictation yet for the office visit. ...
In a Nissen fundoplication, also called a complete fundoplication, the fundus is wrapped the entire 360 degrees around the ... A Nissen fundoplication, or laparoscopic Nissen fundoplication when performed via laparoscopic surgery, is a surgical procedure ... or repeat surgery to revise the Nissen fundoplication to a partial fundoplication - may be necessary. Vomiting is sometimes ... In a fundoplication, the gastric fundus (upper part) of the stomach is wrapped, or plicated, around the lower end of the ...
... the surgeon also did a fundoplication. After being discharged from the hospital, I had problems with nausea, vomiting, and ... Problems eating after fundoplication maggiemae88 I had an open procedure for repair of a hiatal hernia; the surgeon also did a ... Problems eating after fundoplication. I had an open procedure for repair of a hiatal hernia; the surgeon also did a ... I am going to have a fundoplication as well for my hiatal hernia and have my gall bladder removed at the same time. I was ...
Rarely are there successful fundoplication members-- they tend to drift away a... ... I am scheduled for a nissen fundoplication next Monday and I am very nervous, yet relieved because the doctor says I should see ... I had Barretts with high grade dysplasia so there has been a sense of urgency about my treatment and the Nissen fundoplication ... Found this forum a few days back post Toupet Fundoplication (lapro) while searching for answers to my concerns and how my ...
Transoral incisionless fundoplication may improve symptoms in gastroesophageal reflux disease, at least in the short term. ... Transoral incisionless fundoplication (TIF) is an endoscope treatment designed to relieve symptoms of gastroesophageal reflux ... In January 2016, a unique code for the transoral incisionless fundoplication procedure was created and implemented. As of 2016 ... "AMA creates CPT code for transoral incisionless fundoplication procedure for GERD". www.healio.com. Retrieved 2017-06-06. "TIF ...
Learn about fundoplication, a surgical procedure to treat GERD (gastroesophageal reflux disease) and heartburn symptoms. The ... Fundoplication. What is fundoplication?. Fundoplication is the standard surgical method for treating gastro-esophageal reflux ... home , digestion center , digestion a-z list , fundoplication index , fundoplication article , find a local doctor , local ... Suggested Reading on Fundoplication (Acid Reflux Surgery) by Our Doctors. * Related Diseases & Conditions. 12 articles ...
The first Fundoplication was in 2007, and came apart from ... ... The first Fundoplication was in 2007, and came apart from ... The first Fundoplication was in 2007, and came apart from persistent and forceful coughing. I had a re-do in 2008. It did not ... Post Nissen Fundoplication. I have an uncontrolled cough which was shown to be a result of acid reflux. That was my only ... Im not a health professional, so this is just a thought from a person who had a cough prior to my fundoplication... There are ...
Fundoplication is a highly effective surgery for treating GERD, reflux-related symptoms, and hiatal hernias. Well help you ... What is fundoplication?. Fundoplication is one of the most common surgeries used to treat heartburn caused by gastroesophageal ... Several types of fundoplication are possible:. *Nissen 360-degree wrap. The fundus is wrapped all the way around the bottom of ... Fundoplication is a last-resort surgery for GERD or a hiatal hernia, which happens when your stomach pushes up through your ...
I had a Nissen fundoplication done 7 years ago. The only time I regret having it done are the times I get sick at my stomach. ... I ate one 1liter jar ( that may be too much for someone after fundoplication ) of it per day before meals for 10 days. I dont ... I am a 23 year old male and six days post-op of the Nissen Fundoplication. I am a Music Education and Performance major, ... I am now 6 months down the line after my fundoplication and everything seems great(touchwood).The pain in my shoulders has ...
... Cough. 2012 Jul 19;8(1):3. doi: 10.1186/1745-9974-8-3. ... Surgery in the form of Nissen fundoplication has been highly successful in the treatment of the classic reflux symptoms of ... Results: Forty seven patients underwent fundoplication. The average duration of pre-operative cough was 8 years. Gastro ... There is a paucity of data regarding response to fundoplication in patients presenting with chronic cough. ...
Nissen fundoplication is an acid reflux surgical procedure used to treat gastro-esophageal reflux (GERD), a digestive tract ... What are the Types of Nissen fundoplication?. Nissen fundoplication is of two types: *Open Nissen fundoplication, where an open ... Why is Nissen fundoplication done? What are the Indications?. Nissen fundoplication can be done in the following patients with ... What is Nissen fundoplication? Nissen fundoplication is a surgery used to treat gastroesophageal reflux disease wherein the ...
If you have used this image in a publication or presentation please email [email protected] and let us know how it worked out.. ...
1998) Human versus robotic organ retraction during laparoscopic Nissen fundoplication. In: Wells W.M., Colchester A., Delp S. ( ... Increased Mediastinal Pressure and Decreased Cardiac Output during Laparoscopic Nissen Fundoplication. Surgery. (1997) 122(2): ... study of human and robotic performance in force controlled organ retraction during laparoscopic Nissen fundoplication (LNF). ...
Read the rest of the medical definition of fundoplication written by our Doctors. ... The medical definition of fundoplication, a procedure that reduces gastroesophageal reflux. ... A total fundoplication wraps the fundus completely around the esophagus and is known as a Nissen fundoplication. Other types of ... During the fundoplication procedure, the part of the stomach that is closest to the entry of the esophagus (the fundus of the ...
EsophyX™ (Endoluminal Fundoplication™) ELF System for GERD. April 19th, 2007 Medgadget Editors GI, Surgery ... Already approved in the EU, the device is designed to perform endoluminal fundoplication procedures (ELF) for the creation of ...
This video shows normal anatomy of the GE Junction following a Nissen Fundoplication. ...
Surgery for GERD is called fundoplication or Nissen fundoplication. In many cases, surgery can lead to long-term control of ... During GERD fundoplication surgery, your doctor wraps the upper curve of your stomach (fundus) around the esophagus (tube that ... Risks & Considerations Related to Nissen Fundoplication (acid reflux surgery): tear/hole in the stomach lining, tear in the ...
Learn about pediatric Nissen fundoplication procedure from the Cleveland Clinic, including information about Gastroesophageal ... Home / Health Library / Treatments & Procedures / Fundoplication Procedure for Children Fundoplication Procedure for Children A ... Fundoplication Procedure for Children Menu Print Full Article Overview Procedure Details Recovery and Outlook When to Call the ... A Nissen fundoplication is a surgical procedure that corrects GERD by creating an improved valve mechanism at the bottom of the ...
Transoral fundoplication is an effective treatment for patients with gastroesophageal reflux disease, especially for patients ... Laparoscopic Nissen Fundoplication (LNF) Surgery Versus Transoral Incisionless Fundoplication (TIF®): Anti-Reflux Treatment ... Transoral fundoplication -- an incisionless procedure that allows physicians to reshape the anti-reflux valve that prevents ... Efficacy of Transoral Fundoplication vs Omeprazole for Treatment of Regurgitation in a Randomized Controlled Trial, ...
This months focus will be on the vagus nerve, fundoplication & post-surgical gastroparesis. There will be ample time for ... Koch will be talking about the vagus nerve, fundoplication and post-surgical gastroparesis. ... Kenneth Koch Series - Vagus nerve, fundoplication and post-surgical gastropar http://events.r20.constantcontact.com/register/ ...
Creation of a 360° fundoplication over a large intraesophageal dilator (Nissen fundoplication) ... Fundoplication in 160 children under 2 years of age. J Pediatr Surg. 1994 May. 29(5):677-81. [Medline]. ... Laparoscopic versus open fundoplication in infants. Surg Endosc. 2002 Jan. 16(1):54-6. [Medline]. ... Nissen R, Rossetti M, Siewert R. [20 years in the management of reflux disease using fundoplication]. Chirurg. 1977 Oct. 48(10 ...
Next article in issue: Late results of paraoesophageal hiatus hernia repair with fundoplication Next article in issue: Late ... Hayat Mousa, Donna A. Caniano, Maya Alhajj, Laurie Gibson, Carlo Di Lorenzo, Larry Binkowitz, Effect of Nissen Fundoplication ... Function of the proximal stomach after Nissen fundoplication. Authors. *. B. P. L Wijnhoven,. *Department of Surgery, ... After Nissen fundoplication patients frequently report upper abdominal (dyspeptic) symptoms. Theoretically, these symptoms may ...
Indications for fundoplication include the following: Patients with symptoms that are not completely controlled by PPI therapy ... Indications for fundoplication include the following:. * Patients with symptoms that are not completely controlled by PPI ... Fundoplication in 160 children under 2 years of age. J Pediatr Surg. 1994 May. 29(5):677-81. [Medline]. ... Laparoscopic versus open fundoplication in infants. Surg Endosc. 2002 Jan. 16(1):54-6. [Medline]. ...
Compare the effects of esomeprazole 40 mg twice daily and Nissen fundoplication on bronchial reactivity, exhaled NO, pulmonary ... The Effect of Esomeprazole and Nissen Fundoplication on Bronchial Responsiveness, Quality of Life, Exhaled Nitric Oxide and ... The Effect of Esomeprazole and Fundoplication on Airways. This study has been completed. ... Regular use of PPI or H2-RA medication 3 months after fundoplication ...
Fundoplication (coming undone). How do you know whether or not a Nissen has come undone? My son is now passing gas, burping, ...
had nissen fundoplication one week ago! cheribea. Acid Reflux / GERD. 20. 03-12-2007 09:26 AM. ... Unsuccesful Fundoplication--Now possible esophageal bypass NVD. Acid Reflux / GERD. 2. 05-12-2007 07:46 AM. ... nissen fundoplication and continued burning sensation jayze. Digestive Disorders. 16. 02-23-2009 01:38 AM. ... Laparoscopic Nissen Fundoplication surgery. buildingmaint. Acid Reflux / GERD. 22. 06-18-2007 06:27 AM. ...
Illustration of the hiatal hernia operation called Nissen fundoplication. It involves correctly repositioning the stomach under ... Illustration of the hiatal hernia operation called Nissen fundoplication. It involves correctly repositioning the stomach under ...
  • Fundoplication is the standard surgical method for treating gastro- esophageal reflux disease ( GERD ). (medicinenet.com)
  • Although fundoplication is the standard surgical method for treating GERD, endoscopic methods for treating GERD are being developed. (medicinenet.com)
  • Endoscopic methods offer a simpler way of treating GERD than fundoplication. (medicinenet.com)
  • A Nissen fundoplication, or laparoscopic Nissen fundoplication when performed via laparoscopic surgery, is a surgical procedure to treat gastroesophageal reflux disease (GERD) and hiatal hernia. (wikipedia.org)
  • Transoral incisionless fundoplication (TIF) is an endoscope treatment designed to relieve symptoms of gastroesophageal reflux disease (GERD). (wikipedia.org)
  • The TIF procedure, similar to Nissen fundoplication, alleviates GERD symptoms by wrapping a portion of the stomach around the esophagus. (wikipedia.org)
  • Fundoplication is one of the most common surgeries used to treat heartburn caused by gastroesophageal reflux disorder (GERD) . (healthline.com)
  • Fundoplication is a last-resort surgery for GERD or a hiatal hernia , which happens when your stomach pushes up through your diaphragm . (healthline.com)
  • Fundoplication has been the standard surgical method for treating gastroesophageal reflux disease ( GERD ). (rxlist.com)
  • Surgery for GERD is called fundoplication or Nissen fundoplication. (davincisurgery.com)
  • During GERD fundoplication surgery, your doctor wraps the upper curve of your stomach (fundus) around the esophagus (tube that carries food and liquids from your mouth to your stomach). (davincisurgery.com)
  • Bethesda, MD (Jan. 22, 2015) -- Transoral fundoplication is an effective treatment for patients with gastroesophageal reflux disease (GERD), especially for patients with persistent regurgitation despite proton pump inhibitor (PPI) therapy, according to a new study1 published in Gastroenterology , the official journal of the American Gastroenterological Association. (eurekalert.org)
  • This study offers evidence that transoral fundoplication is effective in eliminating troublesome GERD symptoms, especially regurgitation, with a low failure rate and good safety profile for six months. (eurekalert.org)
  • Researchers performed a prospective, sham-controlled trial to determine if transoral fundoplication provided GERD patients with better relief of troublesome regurgitation, or the sensation of acid backing up into a patient's throat or mouth, when compared to PPI therapy. (eurekalert.org)
  • What are the essential elements of laparoscopic fundoplication for treating gastroesophageal reflux disease (GERD)? (medscape.com)
  • What are the indications for fundoplication as a surgical treatment for gastroesophageal reflux disease (GERD)? (medscape.com)
  • Laparoscopic magnetic sphincter augmentation with the LINX device achieved GERD symptom control comparable to that of laparoscopic Nissen fundoplication, according to retrospective study data. (healio.com)
  • Despite the advances in medical management for GERD, the surgical treatment has been studied more methodically since the introduction of laparoscopic Nissen fundoplication [ 5 ], and increasing numbers of patients have opted for the surgical treatment since the advent of this minimally invasive technique. (hindawi.com)
  • Fundoplication surgery is most often used to treat GERD symptoms that are likely to be caused in part by a hiatal hernia and that have not been well controlled by medicines. (healthwise.net)
  • Laparoscopic total fundoplication (LTF) is a safe and effective method for the surgical treatment of gastroesophageal reflux (GERD). (scielo.br)
  • Named after the doctor who first performed this procedure in 1955, Nissen fundoplication surgery is a generally safe and effective GERD surgery that involves wrapping the upper part of the stomach around the esophagus, and stitching it in place. (wakemed.org)
  • Transoral fundoplication is an effective treatment for patients with gastroesophageal reflux disease (GERD), especially for patients with persistent regurgitation despite proton pump inhibitor (PPI) therapy, according to a new study1 published in Gastroenterology , the official journal of the American Gastroenterological Association. (medicalxpress.com)
  • GERD surgery or Nissen Fundoplication in India is one of the most sought after procedures from people around the world. (indicure.com)
  • If you are suffering from the GERD symptoms and medicines and other non-surgical methods have not helped, you can be considered for Fundoplication surgery. (indicure.com)
  • Fundoplication, an anti-reflux surgery, has become popular therapy for gastroesophageal reflux disease (GERD) using a minimally invasive laparoscopic technique. (badgut.org)
  • The Nissen fundoplication is a surgery performed on the stomach and the esophagus, and is one type of operation used to treat GERD. (badgut.org)
  • However, fundoplication alone does not give satisfactory results when used for GERD in morbidly obese patients. (springeropen.com)
  • 2005 ). However, laparoscopic fundoplication (LF) does not give satisfactory results in treatment for GERD in morbidly obese patients since obesity predisposes the patient to high rates of LF failure (Antanavicius et al. (springeropen.com)
  • Anti-reflux surgery, or Laparoscopic Fundoplication surgery is a procedure to treat gastro oesophageal reflux disease (GERD). (brisbanebariatrics.com.au)
  • Fundoplication is recommended for children who have persistent symptoms related to GERD that are not improved by medical treatment and lifestyle changes. (gikids.org)
  • Symptoms or complications of GERD where fundoplication can be considered include long-term inflammation of the esophagus (esophagitis), recurrent aspiration pneumonia (caused by breathing in food particles, stomach acid, or saliva), poorly controlled asthma related to GERD, long-term anemia from irritation or ulcers in the esophagus, and narrowing of the esophagus (esophageal stricture). (gikids.org)
  • Fundoplication is a standard surgical treatment for GERD. (wustl.edu)
  • Nissen fundoplication with hiatal hernia repair is the most reliable and most effective treatment of GERD or acid reflux disease. (emilysstomach.com)
  • A NIssen fundoplication is the definitive surgical treatment for GERD where medical therapy has failed and to acheive a permanent solution to the problem of acid reflux backup into the stomach. (ucsf.edu)
  • Fundoplication surgery is the most common surgery used to treat GERD and is usually performed by a general surgeon. (providence.org)
  • Studies have shown fundoplication surgery improves GERD symptoms in most people. (providence.org)
  • Surgery for GERD and a hiatal hernia is known as a laparoscopic fundoplication and hiatal hernia repair. (austinsurgeons.net)
  • In cases where treatments such as medication, weight loss and improved diet have not succeeded in controlling the disorder, GERD can be corrected using the minimally invasive procedure known as laparoscopic Nissen fundoplication to rebuild the connection between the stomach and the swallowing tube (esophagus). (reflux1.com)
  • If you are one of these people and your medications have not stopped the occurance of symptoms, you may be a candidate for a completely incision-less surgery, called TIF (Transoral Incisionless Fundoplication) that treats the root cause of GERD, an anatomical deficiency at the gastroesophgeal junction. (southwestsurgical.com)
  • The transoral incisionless fundoplication is a minimally invasive treatment for gastroesophageal reflux disease (GERD) that is performed in the outpatient setting. (southwestsurgical.com)
  • Fundoplication procedures have been used to effectively treat patients with GERD for over 50 years. (southwestsurgical.com)
  • Unlike antireflux medications, laparoscopic Nissen fundoplication offers permanent relief for gastroesophageal reflux disease ( GERD ). (stanfordhealthcare.org)
  • Our esophagus experts have a national reputation for delivering innovative GERD treatments, including laparoscopic Nissen fundoplication. (stanfordhealthcare.org)
  • During the fundoplication procedure, the part of the stomach that is closest to the entry of the esophagus (the fundus of the stomach) is gathered, wrapped, and sutured (sewn) around the lower end of the esophagus and the lower esophageal sphincter. (medicinenet.com)
  • Hi, I think there is n direct code for Endoscopic fundoplication, need to use unlisted procedure. (aapc.com)
  • The TIF procedure, unlike laparoscopic fundoplication, does not require surgical incisions. (wikipedia.org)
  • In January 2016, a unique code for the transoral incisionless fundoplication procedure was created and implemented. (wikipedia.org)
  • The advantage of the laparoscopic fundoplication procedure is that there is less post -operative pain , and the recovery time is faster. (rxlist.com)
  • A Nissen fundoplication is a surgical procedure that corrects gastroesophageal reflux by creating an improved valve mechanism at the bottom of the esophagus. (clevelandclinic.org)
  • What is a fundoplication procedure for children? (clevelandclinic.org)
  • Transoral fundoplication -- an incisionless procedure that allows physicians to reshape the anti-reflux valve that prevents stomach acid and contents from flowing up into the esophagus -- may offer a new treatment option for these patients. (eurekalert.org)
  • There are surgical alternatives to a Nissen fundoplication such as a partial wrap and placing magnetic beads around your oesophagus (linx procedure). (healthdirect.gov.au)
  • A Nissen fundoplication is usually performed as an elective procedure with every attempt made to optimize the patient's underlying medical issues prior to the operation. (clinicaladvisor.com)
  • The fundoplication procedure cannot be reversed, and in some cases it may not be possible to relieve the symptoms of these complications, even with a second surgery. (healthwise.net)
  • Nissen fundoplication surgery is increasingly being performed as a minimally invasive procedure, using a laparascope or a da Vinci ® Surgical System, which is available at WakeMed. (wakemed.org)
  • Transoral Incisionless Fundoplication, or TIF, is a procedure that is designed to surgically reconstruct a defective gastroesophageal valve to restore the reflux barrier. (baycare.org)
  • Children who received a first fundoplication had similar rates of aspiration pneumonia and mortality after the procedure compared with those who had a first gastrojejunal feeding tube, when adjusting for the treatment assignment using propensity scores. (aappublications.org)
  • 8 - 10 The surgical option is the antireflux procedure known as the fundoplication. (aappublications.org)
  • Fundoplication is the third most common procedure performed by pediatric surgeons. (aappublications.org)
  • 15 , 16 The cross-sectional design of these important studies hampers clinicians, who still do not know which procedure, a fundoplication or GJT, when performed first, is superior in reducing subsequent AP or improving survival for these children. (aappublications.org)
  • The most common anti- reflux procedure is called a fundoplication , which involves closure of the hernia and re-creating a new valve by wrapping a portion of the stomach around the esophagus. (healthtap.com)
  • Laparoscopic fundoplication is a keyhole procedure performed for patients with severe acid reflux, Barrett's oesophagus and symptomatic hiatus hernias that no longer respond to medication. (nbt.nhs.uk)
  • All patients were required to provide written informed consent for both the fundoplication and the SIPS procedure before undergoing surgery. (springeropen.com)
  • Can Nissen fundoplication be performed as a laparoscopic procedure? (wustl.edu)
  • Washington University thoracic surgeons can perform fundoplication as a laparoscopic (minimally invasive) procedure that requires only tiny incisions in the stomach. (wustl.edu)
  • The Nissen fundoplication is usually performed as a laparoscopic (minimally invasive) procedure.The doctor uses small instruments that hold a camera to look at the abdomen and pelvis. (ucsf.edu)
  • The procedure is reported to have the same results as the standard fundoplication, and people can leave the hospital in 1 to 3 days and return to work in 2 to 3 weeks. (ucsf.edu)
  • This procedure is used when open fundoplication is not appropriate. (healthline.com)
  • Laparoscopic fundoplication is a surgical procedure to address Gastro Oesophageal Reflux Disease (GORD) , if other non-surgical treatments have not proved successful. (bendigosurgicalservices.com.au)
  • Originally called a 'Nissen Fundoplication' after the Swiss doctor who pioneered the approach in the 1950s, the procedure involves wrapping the upper part of the stomach (the 'fundus') around the lower section of the oesophagus (the tube connecting the throat to the stomach) and then suturing it into position. (bendigosurgicalservices.com.au)
  • One successful form of surgery to prevent further injury to the esophagus is the Nissen fundoplication, named for the surgeon who pioneered the procedure. (reflux1.com)
  • Nissen fundoplication can be done in most cases today as a microsurgical procedure involving only small incisions, minimal pain and blood loss, and rapid recuperation. (reflux1.com)
  • Traditional Nissen fundoplication is an open surgery procedure requiring an incision 6 to 10 inches long. (reflux1.com)
  • The Nissen fundoplication is perhaps the most widely performed procedure as it has the best results, with 85-90% of patients reporting improvement of their symptoms. (reflux1.com)
  • Laparoscopic fundoplication is a keyhole procedure performed for patients with severe acid reflux that does not respond to medical drug treatment. (manchestergastrospecialists.com)
  • The TIF procedure differs from a traditional fundoplication procedure because it is performed through the mouth rather than through laparoscopy or open abdominal incisions. (southwestsurgical.com)
  • The original variation of the procedure performed early in U.S. experience, and predominantly in Europe was known as endoluminal fundoplication (ELF). (southwestsurgical.com)
  • Laparoscopic Nissen fundoplication is a minimally invasive procedure that restores normal functioning in your body's natural reflux barrier (lower esophageal sphincter). (stanfordhealthcare.org)
  • As a laparoscopic procedure, we perform Nissen fundoplication using specialized tools we insert through very small incisions above your belly button (laparoscopy). (stanfordhealthcare.org)
  • In contrast, surgery for achalasia is generally accompanied by either a Dor or Toupet partial fundoplication, which is less likely than a Nissen wrap to aggravate the dysphagia that characterizes achalasia. (wikipedia.org)
  • If postoperative gas-bloat syndrome does not resolve with time, dietary restrictions, counselling regarding aerophagia, and correction - either by endoscopic balloon dilatation[citation needed] or repeat surgery to revise the Nissen fundoplication to a partial fundoplication - may be necessary. (wikipedia.org)
  • Vomiting is sometimes impossible or, if not, very painful after a fundoplication, with the likelihood of this complication typically decreasing in the months after surgery. (wikipedia.org)
  • Both surgeons that performed the fundos told me before the surgery that there was a 10% chance the Fundoplication would not help the coughing. (medhelp.org)
  • Surgery in the form of Nissen fundoplication has been highly successful in the treatment of the classic reflux symptoms of heartburn and dyspepsia. (nih.gov)
  • Nissen fundoplication is a surgery used to treat gastroesophageal reflux disease wherein the stomach fundus is sewn in position all around the lower esophagus. (medindia.net)
  • The researchers randomly assigned 129 patients with troublesome regurgitation despite daily PPI use to transoral fundoplication using the EsophyX-2 device and six months of placebo, or a sham surgery and six months of once or twice daily omeprazole. (eurekalert.org)
  • To help health-care decision makers make informed decisions regarding this technology, the AGA Center for GI Innovation and Technology has partnered with EndoGastric Solutions® to establish the STAR Registry (Laparoscopic Nissen Fundoplication (LNF) Surgery Versus Transoral Incisionless Fundoplication (TIF®): Anti-Reflux Treatment Registry). (eurekalert.org)
  • The STAR Registry will provide the first real-world data observing patient outcomes following laparoscopic surgery and transoral fundoplication with the EsophyX® device. (eurekalert.org)
  • Laparoscopic Nissen Fundoplication surgery. (healthboards.com)
  • This is the first propensity-matched study comparing LINX [Torax Medical] to [laparoscopic Nissen fundoplication] assessing quality of life, proton-pump inhibitor use, satisfaction and complications," John C. Lipham, MD, chief of the division of upper GI and general surgery and associate professor of clinical surgery at Keck School of Medicine of the University of Southern California, said in a press release. (healio.com)
  • Some patients with significant cardiac disease, including cyanotic congenital heart disease, may be scheduled for Nissen fundoplication, in many cases shortly after their heart surgery due to difficulties with feeding and nutrition that impair their recovery. (clinicaladvisor.com)
  • The following keywords were used: "surgery/fundoplication and extraesophageal manifestations of gastroesophageal reflux," "surgery/fundoplication and laryngopharyngeal reflux," and "surgery/fundoplication and atypical symptoms of gastroesophageal reflux. (hindawi.com)
  • During fundoplication surgery, the upper curve of the stomach (the fundus) is wrapped around the esophagus and sewn into place so that the lower portion of the esophagus passes through a small tunnel of stomach muscle. (healthwise.net)
  • But when fundoplication surgery is successful, it may end the need for long-term treatment with medicine. (healthwise.net)
  • Surgery − usually fundoplication - isn't done as often as it used to be because we now have much more effective medications to suppress stomach acid. (axappphealthcare.co.uk)
  • An advantage of laproscopic surgery or computer-assisted surgery is that while performing a Nissen fundoplication surgery, the surgeon does not need to make a long incision. (wakemed.org)
  • Talk to your physician at WakeMed Physician Practices Pediatric Surgery about Nissen fundoplication surgery, and you and your child will be feeling better quickly. (wakemed.org)
  • ConclusionBariatric surgery is possible after fundoplication without taking down the fundoplication. (medworm.com)
  • It appears to be a viable alternative in patients seeking weight loss surgery after fundoplication, which is currently assumed contraindicated. (medworm.com)
  • Open fundoplication surgery - Open Fundoplication surgery is done when either it is not possible or not safe to perform the laparoscopic surgery. (indicure.com)
  • Anyone done a nissen fundoplication laparoscopic surgery? (healthtap.com)
  • After a nissen fundoplication takedown, should the normal esophagal motility priorto.Surgery return? (healthtap.com)
  • Surgeons Practicing Laparoscopic Nissen Fundoplication, Nephrectomy, Splenectomy and Colorectal surgery on the live tissue. (laparoscopyhospital.com)
  • Laparoscopic surgery for procedures such as Nissen fundoplication and esophagomyotomy are commonly performed. (scirp.org)
  • DATA SOURCES An electronic search was conducted among studies published between January 1976 and September 2011 using the keywords achalasia, myotomy, antireflux surgery, and fundoplication. (biomedsearch.com)
  • A total of 200 patients (median age 56 years) with GORD who had undergone an endoscopy, oesophageal manometry, and 24 hour pH monitoring prior to surgery were stratified according to the presence or absence of oesophageal dysmotility and then randomised to either a Nissen or Toupet laparoscopic fundoplication. (bmj.com)
  • how do i know if i need nissen fundoplication laparoscopic surgery? (healthtap.com)
  • Medications can help with reflux, however if you are young or the risk of surgery is minimal, the fundoplication can keep you from needing to take medications for your lifetime. (healthtap.com)
  • Transoral incisionless fundoplication (TIF) provides safe and durable antireflux therapy in a canine model, according to a report in the July Annals of Surgery. (abkhazia.com)
  • Methods: A systematic search of the literature was conducted using Medline, Cochrane Database of Systematic Reviews (Evidence-based Medicine) and the Institute for Scientific Information Web of Science from January 2004 until February 2010 using terms: Gastroesophageal reflux and Nissen fundoplication or antireflux surgery or open Nissen fundoplication, randomized and outcomes. (pacificu.edu)
  • Laparoscopic fundoplication (LF) (Nissen or Toupet) is a minimally invasive form of anti-reflux surgery. (springeropen.com)
  • Fundoplication is a topic covered in the Pediatric Surgery NaT . (pedsurglibrary.com)
  • Had fundoplication surgery. (healthcaremagic.com)
  • I am a 40 yr old male 5'7 180 I just had fundoplication surgery 3 -1/2 weeks ago. (healthcaremagic.com)
  • Toupet Fundoplication is performed as day surgery either in the hospital or outpatient surgery centres usually with the patient under general anaesthesia. (brisbanebariatrics.com.au)
  • Fundoplication is a type of surgery to stop stomach contents from moving up into the food pipe (esophagus) by reinforcing the "valve" between the lower esophagus and stomach. (gikids.org)
  • As with other minimally invasive procedures, patients who undergo laparoscopic Nissen fundoplication usually have fewer complications, a shorter hospital stay, less pain and a much faster recovery than with traditional open surgery. (wustl.edu)
  • However, for those who do need surgery, there is a range of procedures available, the most common being Nissen fundoplication. (medicalnewstoday.com)
  • There are three types of surgery for a hiatal hernia: Nissen fundoplication (keyhole surgery), open repairs, and endoluminal fundoplication. (medicalnewstoday.com)
  • A Nissen fundoplication is the most commonly performed surgery for a hiatal hernia. (medicalnewstoday.com)
  • Transoral Incisionless Fundoplication (TIF) is a natural orifice surgery to repair the lower esophageal sphincter and prevent acid reflux. (surgicalalliance.net)
  • Most fundoplication surgery uses the full fundoplication method. (providence.org)
  • Fundoplication surgery can be done through the abdomen or the chest. (providence.org)
  • There may be other risks associated specifically with laparoscopic fundoplication surgery. (providence.org)
  • In special cases, other surgeries such as partial fundoplication or gastropexy may be done instead of fundoplication surgery. (providence.org)
  • Fundoplication can be performed as an open surgery. (healthline.com)
  • The preparation for this surgery is similar to that of the preparation for fundoplication, but may not require as many steps. (healthline.com)
  • Fundoplication - EsophyX enables manipulation and plication of the fundus (part of the stomach) around the esophagus in order to reconstruct an antireflux valve according to the established principles of antireflux surgery. (texasrefluxsolutions.com)
  • Your healthcare provider is now advising a surgery called fundoplication. (kramesonline.com)
  • Nissen (complete) fundoplication is generally considered to be safe and effective, with a mortality rate of less than 1% and many of the most common post-operative complications minimized or eliminated by the partial fundoplication procedures now more commonly used. (wikipedia.org)
  • Laparoscopic Nissen fundoplication is preferred due to lesser pain, an early recovery with a shorter hospital stay, a better cosmetic result and lesser complications like surgical trauma. (medindia.net)
  • If these patients are excluded, there was no difference for RYGB with gastrojejunostomy compared to reoperative fundoplication for complications, reoperations, or readmissions. (springermedizin.de)
  • In a fundoplication, the gastric fundus (upper part) of the stomach is wrapped, or plicated, around the lower end of the esophagus and stitched in place, reinforcing the closing function of the lower esophageal sphincter. (wikipedia.org)
  • In "gas bloat syndrome", fundoplication can alter the mechanical ability of the stomach to eliminate swallowed air by belching, leading to an accumulation of gas in the stomach or small intestine. (wikipedia.org)
  • For example, if you have mild gastroparesis , a condition in which your stomach empties slowly, fundoplication will probably help. (healthline.com)
  • The term fundoplication is composed of fundo-, referring to the fundus (the upper portion) of the stomach + -plication, an operation for reducing the size of a hollow organ (in this case, the stomach) by taking folds or tucks in its walls. (rxlist.com)
  • Theoretically, these symptoms may be the result of changes in function of the proximal stomach as induced by fundoplication. (wiley.com)
  • A Nissen fundoplication is an operation to prevent acid reflux, where acid from your stomach travels up into your oesophagus (gullet). (healthdirect.gov.au)
  • A fundoplication is wrapping the top of the stomach (fundus) around and attaching it to itself. (healthtap.com)
  • A fundoplication wraps the top of your stomach around itself to treat reflux . (healthtap.com)
  • One further patient had an intact abdominal oesophagus and crural repair, but a large portion of the stomach had herniated through the left part of the fundoplication and acted as a volvulus. (diva-portal.org)
  • The "fundus" (hence the term fundoplication) of the stomach, which is on the left of the esophagus and main portion of the stomach, is wrapped around the back of the esophagus until it is once again in front of this structure. (badgut.org)
  • The original fundoplication technique as described by Rudolf Nissen in 1955 consisted in wrapping the fundus of the stomach around the esophagus, while leaving the gastrosplenic vessels and the diaphragmatic hiatus intact. (websurg.com)
  • As the fundoplication must be over the distal esophagus and not over the proximal stomach, identification of the gastroesophageal (GE) junction is critical. (pedsurglibrary.com)
  • During a fundoplication, the upper portion of the stomach (fundus) is wrapped around the lower portion of the esophagus. (gikids.org)
  • During the Nissen fundoplication, the upper part of the stomach is wrapped around the LES to strengthen the sphincter, prevent acid reflux, and repair a hiatal hernia. (ucsf.edu)
  • Full fundoplication involves wrapping the stomach around the esophagus so that it completely encircles it. (providence.org)
  • Partial fundoplication involves wrapping the stomach only partway around the esophagus. (providence.org)
  • Transoral incisionless fundoplication may improve symptoms in gastroesophageal reflux disease, at least in the short term. (wikipedia.org)
  • In this vein, we are currently performing a randomized controlled trial that compares transoral incisionless fundoplication to proton pump inhibitor therapy with the primary endpoint of long-term symptom amelioration. (abkhazia.com)
  • The occurrence of severe dysphagia after laparoscopic total fundoplication is currently an important factor associated with loss of quality of life in patients undergoing this modality of treatment for gastroesophageal reflux disease. (scielo.br)
  • The objective of this study was to compare outcomes for children with neurologic impairment and gastroesophageal reflux disease after either a first fundoplication or a first gastrojejunal feeding tube. (aappublications.org)
  • Of the 366 children with neurologic impairment and gastroesophageal reflux disease, 43 had a first gastrojejunal feeding tube and 323 underwent a first fundoplication. (aappublications.org)
  • Aspiration pneumonia and mortality are not uncommon events after either a first fundoplication or a first gastrojejunal feeding tube for the management of gastroesophageal reflux disease in children with neurologic impairment. (aappublications.org)
  • MEDICAL ANIMATION TRANSCRIPT: Your surgeon may perform a fundoplication to treat gastroesophageal reflux disease, or to repair a hiatal hernia. (smartimagebase.com)
  • Nissen fundoplication is a commonly performed operation to prevent/decrease significant gastroesophageal reflux . (healthtap.com)
  • Partial Anterior vs Partial Posterior Fundoplication Following Transabdominal Esophagocardiomyotomy for Achalasia of the Esophagus: Meta-regression of Objective Postoperative Gastroesophageal Reflux and Dysphagia. (biomedsearch.com)
  • Background: Laparoscopic Nissen fundoplication (LNF) is regarded as the surgical treatment of first choice for refractory gastroesophageal reflux disease. (pacificu.edu)
  • Initially there has been some question about whether the laparoscopic fundoplication would be as effective as the open fundoplication in the treatment of gastroesophageal reflux disease, therefore randomized studies comparing the two have focused on several points. (pacificu.edu)
  • Outpatient laparoscopic fundoplication for gastroesophageal reflux disease]. (lenus.ie)
  • Sometimes the fundoplication unwraps, and this can cause the gastroesophageal reflux to return. (gikids.org)
  • After signing the informed consent, a minimally invasive, trans-oral endoscopic anterior fundoplication was performed by Prof. Kiesslich during the April 2015 "Endoskopie Live" congress in Berlin, Germany. (medigus.com)
  • The Nissen fundoplication is total (360°), but partial fundoplications known as Thal (270° anterior), Belsey (270° anterior transthoracic), Dor (anterior 180-200°), Lind (300° posterior), and Toupet fundoplications (posterior 270°) are alternative procedures with somewhat different indications and outcomes. (wikipedia.org)
  • while in a Toupet (posterior) fundoplication, the fundus is wrapped around the back of the esophagus. (wikipedia.org)
  • The Nissen fundoplication is total (360º), but partial fundoplications known as Belsey fundoplication (270º anterior transthoracic), Dor fundoplication (anterior 180-200º) or Toupet fundoplication (posterior 270º) are also alternative procedures with somewhat different indications. (absoluteastronomy.com)
  • Compare the incidence and evaluate the causes of severe postoperative dysphagia in patients undergoing laparoscopic total fundoplication (LTF) without short gastric vessels division, using the anterior gastric wall (Rossetti LTF) or anterior and posterior gastric walls (Nissen LTF). (scielo.br)
  • Some 101 patients were operated consecutively with posterior partial (270°) fundoplication. (diva-portal.org)
  • Posterior partial fundoplication shows excellent reflux control at early follow-up. (diva-portal.org)
  • OBJECTIVES To review transabdominal esophagocardiomyotomy (surgical treatment of achalasia) of the esophagus and to compare outcomes of partial anterior vs partial posterior fundoplication. (biomedsearch.com)
  • Studies were divided into the following 3 groups: myotomy only, myotomy with anterior fundoplication, and myotomy with posterior fundoplication. (biomedsearch.com)
  • The odds of postoperative dysphagia were 0.06 (95% CI, 0.03-0.12) for myotomy only, 0.11 (95% CI, 0.09-0.14) for myotomy with anterior fundoplication, and 0.06 (95% CI, 0.04-0.08) for myotomy with posterior fundoplication. (biomedsearch.com)
  • The odds of a postoperative abnormal 24-hour pH test result were 0.37 (95% CI, 0.12-1.08) for myotomy only, 0.16 (95% CI, 0.11-0.24) for myotomy with anterior fundoplication, and 0.18 (95% CI, 0.13-0.25) for myotomy with posterior fundoplication. (biomedsearch.com)
  • CONCLUSION Partial posterior fundoplication when combined with an esophagocardiomyotomy may be associated with significantly lower reintervention rates for postoperative dysphagia, while providing similar reflux control compared with partial anterior fundoplication. (biomedsearch.com)
  • The aim of this study was to evaluate the short-term outcomes following partial posterior fundoplication with gastric fundus tamponade. (springermedizin.de)
  • Illustration of the hiatal hernia operation called Nissen fundoplication. (sciencephoto.com)
  • What's a hernia nissen fundoplication, gastrostomy? (healthtap.com)
  • Allograft dermal matrix hiatoplasty during laparoscopic primary fundoplication, paraesophageal hernia repair, and reoperation for failed hiatal hernia repair. (biomedsearch.com)
  • BACKGROUND: Hiatal repair failure is the nemesis of laparoscopic paraesophageal hernia repair as well as the major cause of failure of primary fundoplication and reoperation on the hiatus. (biomedsearch.com)
  • After seeing a Gastroenterologist and having all the neccessary tests (pH,Gastroscopy Barium x-ray) the Dr told me I had severe reflux and Hiatus Hernia, I was put on a waiting list for a Laprascopic Nissen Fundoplication & H.Hernia repair. (ourhealth.com)
  • The recovery following fundoplication and hiatal hernia repair is like that of other laparoscopic procedures. (austinsurgeons.net)
  • Forty seven patients underwent fundoplication. (nih.gov)
  • Further, a larger proportion of controls demonstrated no response at three months (36 percent) than patients who underwent transoral fundoplication (11 percent). (eurekalert.org)
  • Patients underwent oesophageal manometry, 24 hour oesophageal pH testing, and symptom score evaluation by an independent observer before and six months after laparoscopic Nissen fundoplication. (bmj.com)
  • In this study we have evaluated the rate and severity of cough in 195 patients with documented gastro-oesophageal reflux disease on long term medical antireflux therapy who underwent laparoscopic Nissen fundoplication. (bmj.com)
  • Thirty-six patients underwent salvage RYGB and 84 patients underwent reoperative fundoplication. (springermedizin.de)
  • the surgeon also did a fundoplication. (medhelp.org)
  • My next step is to meet with a surgeon to talk about a Nissen Fundoplication. (healthboards.com)
  • All of the surgeons do many laparoscopic GI surgeries, so feel confident that your surgeon can do a laparoscopic fundoplication. (surgery4children.com)
  • The aim of this paper is to review the current literature regarding the impact of laparoscopic fundoplication for the treatment of LPR. (hindawi.com)
  • Before the widespread use of laparoscopic procedures, surgeons performed the Nissen fundoplication through an incision in the middle of the abdomen, extending from just below the ribs to the navel. (badgut.org)
  • When performed by experienced surgeons, laparoscopic fundoplication is safe and effective in people of all ages, including infants. (ucsf.edu)
  • The EsophyX™ system with SerosaFuse fasteners (EndoGastric Solutions, Redmond, WA, USA) was designed to reconstruct the gastroesophageal junction through anterior partial fundoplication with tailored delivery of multiple fasteners during a single-device insertion. (clinicaltrials.gov)
  • it employs the EsophyX device to create an esophagogastric fundoplication that is up to 270° and 3cm in length. (texasrefluxsolutions.com)
  • In a Nissen fundoplication, also called a complete fundoplication, the fundus is wrapped the entire 360 degrees around the esophagus. (wikipedia.org)
  • A total fundoplication wraps the fundus completely around the esophagus and is known as a Nissen fundoplication. (rxlist.com)
  • Other types of fundoplication procedures wrap different parts of the fundus around the esophagus and include Thal, Belsey, Dor, Lind, and Toupet fundoplications. (rxlist.com)
  • Purpose: The aim of this study is to elucidate the effects of laparoscopic Nissen fundoplication (LNF) with carbon dioxide (CO 2 ) or helium (He) on the cell-mediated immune response in a pediatric animal model compared with open Nissen fundoplication (ONF). (elsevier.com)
  • To investigate the mechanisms and anatomical failures after total laparoscopic fundoplication using the symptoms and findings at reoperation. (diva-portal.org)
  • Distortions of the fundoplication were identified as possible causes of the dysphagia in all patients taken to redo fundoplication after Rossetti LTF. (scielo.br)
  • Only Rossetti LTF was associated with structural distortion of the fundoplication that could justify the dysphagia. (scielo.br)
  • In the dysphagia group the reason for it in 4 patients was severe fibrosis in the hiatal region including the right part of the fundoplication. (diva-portal.org)
  • Dysphagia was caused by hiatal fibrosis or other technical failures rather than a normal tight fundoplication. (diva-portal.org)
  • This work by Fibbe et al from Hamburg is the latest and best designed of several studies published in the last few years that have shown preoperative oesophageal manometry to be of no value in predicting the occurrence of dysphagia after fundoplication. (bmj.com)
  • Esophageal motility in reflux disease before and after fundoplication: a prospective randomized, clinical and manometric study. (bmj.com)
  • It is common to experience some slowness of swallowing due to swelling around the lower esophagus and the fundoplication. (austinsurgeons.net)
  • Twenty-one patients who were reoperated on a median of 33 (0.5-102) months after laparoscopic fundoplication. (diva-portal.org)
  • Following intermitant but somtimes severe symptoms of discomfort/indegestion/reflux etc I have been told that my wrap has failed after 6 years and fundoplication should be repeated. (healthboards.com)
  • No wrap distortion was seen in redo fundoplication after Nissen LTF. (scielo.br)
  • It can be a partial wrap (toupet fundoplication) or a complete wrap (nissen fundoplication). (healthtap.com)
  • What is the nissen fundoplication wrap? (healthtap.com)
  • Kiljander T, Rantanen T, Kellokumpu I, Kööbi T, Lammi L, Nieminen M, Poussa T, Ranta A, Saarelainen S, Salminen P. Comparison of the effects of esomeprazole and fundoplication on airway responsiveness in patients with gastro-oesophageal reflux disease. (clinicaltrials.gov)
  • BACKGROUND This study was designed to determine prospectively the rate of cough before and after laparoscopic Nissen fundoplication performed for the control of gastro-oesophageal reflux disease. (bmj.com)
  • Laparoscopic Nissen fundoplication is effective in the control of cough in patients with gastro-oesophageal reflux disease, with or without primary respiratory disease. (bmj.com)
  • Laparoscopic Nissen fundoplication, first described in 1991, 8 has been shown to be extremely effective in the treatment of gastro-oesophageal reflux disease symptoms and is associated with shorter hospital stay, recovery period, and early return to full activity compared with open fundoplication. (bmj.com)
  • Some months prior to the introduction oflaparoscopic fundoplication our unit had changed from partial to total fundoplication as a standard operation for gastro-oesophageal reflux disease (GORD). (diva-portal.org)
  • Should abnormal oesophageal motility in gastro-oesophageal reflux disease (GORD) influence decisions about fundoplication? (bmj.com)
  • Does abnormal oesophageal motility in gastro-oesophageal reflux disease affect the outcome of laparoscopic fundoplication? (bmj.com)
  • Basically, if you have documented reflux disease either by history or testing such as egd or ph probe test, then fundoplication can be considered. (healthtap.com)
  • Fundoplication is an operation to treat gastro-oesophageal reflux disease (GORD). (v-cx.co.uk)
  • Each type of fundoplication has slightly different steps. (healthline.com)
  • Some studies have suggested that fundoplication can correct the motility disturbance and that tailoring the type of fundoplication will improve the clinical outcome. (bmj.com)
  • Already approved in the EU, the device is designed to perform endoluminal fundoplication procedures (ELF) for the creation of gastroesophageal valves and reduction of hiatal hernias. (medgadget.com)
  • Nissen Fundoplication after Failure of Endoluminal Fundoplication: Short-Term Results. (texasrefluxsolutions.com)
  • Data varies, but some degree of gas-bloat may occur in as many as 41% of Nissen patients, whereas the occurrence is less with patients undergoing partial anterior fundoplication. (wikipedia.org)
  • There is a paucity of data regarding response to fundoplication in patients presenting with chronic cough. (nih.gov)
  • We retrospectively reviewed the case notes of patients from the Hull Cough Clinic who had undergone Nissen fundoplication over the past 6 years. (nih.gov)
  • Four patients needed repeat surgical intervention for modification of fundoplication. (nih.gov)
  • The primary endpoint in this study, elimination of troublesome regurgitation, was achieved in a greater proportion of patients treated with transoral fundoplication than with omeprazole: 67 percent versus 45 percent. (eurekalert.org)
  • After Nissen fundoplication patients frequently report upper abdominal (dyspeptic) symptoms. (wiley.com)
  • In 12 patients after fundoplication and 12 healthy volunteers (age- and sex-matched) perception of symptoms was evaluated during both bag distension and liquid meal stimulus. (wiley.com)
  • 101 consecutive patients operated with open partial2 70° fundoplication and crural repair during 1982-1989 were prospectively analysed. (diva-portal.org)
  • To analyze retrospectively a group of patients with reflux esophagitis, treated surgically with Nissen-type fundoplication using a laparoscopic approach. (medigraphic.com)
  • All patients in the GOR group had a slippage and rupture of the fundoplication. (diva-portal.org)
  • In symptomatic patients after failed fundoplication, reoperation is considered. (springermedizin.de)
  • In complex or obese patients, Roux-en Y gastric bypass (RYGB) may be the best operation. (springermedizin.de)
  • We sought to characterize the outcomes of patients with failed fundoplication to undergo salvage RYGB, and to compare these outcomes to patients undergoing reoperative fundoplication. (springermedizin.de)
  • In five patients with three or more prior fundoplication attempts, an esophagojejunostomy was necessary. (springermedizin.de)
  • In a complex cohort of patients with high rates of obesity and numerous failed previous fundoplication attempts, conversion to RYGB results in good symptomatic outcomes. (springermedizin.de)
  • Patients with three or more previous fundoplication attempts are more likely to require esophagojejunostomy. (springermedizin.de)
  • It has generally been assumed that patients undergoing laparoscopic fundoplication will have less pain and a faster recovery. (pacificu.edu)
  • Del Campo SEM, Mansfield SA, Suzo AJ, Hazey JW, Perry KA (2017) Laparoscopic redo fundoplication improves disease-specific and global quality of life following failed laparoscopic or open fundoplication. (springermedizin.de)
  • To determine whether (i) oesophageal dysmotility is associated with severity of GORD symptoms and outcome of fundoplication and (ii) whether a complete (Nissen) or partial (Toupet) fundoplication improves oesophageal dysmotility. (bmj.com)
  • 2017. https://www.tabers.com/tabersonline/view/Tabers-Dictionary/735684/all/fundoplication. (tabers.com)
  • Conclusion: Overall it was found that laparoscopic fundoplication reduced duration of postoperative hospital stay and decreased sick leave time and when compared to open group. (pacificu.edu)
  • 2-3 sutures tighten the hiatus to prevent the fundoplication from migrating into the chest. (badgut.org)
  • But fundoplication won't help treat severe gastroparesis, so other treatments may be necessary. (healthline.com)
  • During this month's program, Dr. Koch will be talking about the vagus nerve, fundoplication and post-surgical gastroparesis. (constantcontact.com)