Laparoscopic redo nissen fundoplication

Constantine T. Frantzides, Mark Alan Carlson

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

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

Original languageEnglish (US)
Pages (from-to)235-239
Number of pages5
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques - Part A
Volume7
Issue number4
DOIs
StatePublished - Jan 1 1997
Externally publishedYes

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Fundoplication
Reoperation
Heartburn
Deglutition Disorders
Pathologic Constriction
Stomach Volvulus
Hiatal Hernia
Esophagitis
Gastroesophageal Reflux
Endoscopy
Stomach
Pain

ASJC Scopus subject areas

  • Surgery

Cite this

Laparoscopic redo nissen fundoplication. / Frantzides, Constantine T.; Carlson, Mark Alan.

In: Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A, Vol. 7, No. 4, 01.01.1997, p. 235-239.

Research output: Contribution to journalArticle

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