Anti-reflux surgery – Nissen fundoplication

2005 ◽  
pp. 205-212
Keyword(s):  
Nissen Fundoplication

Optimum clinical outcome after nissen fundoplication is related to both acid normalisation and improved oesophageal motility

Endoscopy ◽  
2005 ◽  
Vol 37 (05) ◽  
Author(s):  
N Ravi ◽  
N Al-Sarraf ◽  
T Moran ◽  
J O'Riordan ◽  
S Rowley ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Nissen Fundoplication ◽  
Oesophageal Motility

Quality of life after anti-reflux surgical interventions: possible solutions to the problem

2020 ◽  
pp. 3-25
Author(s):  
D. Lukanin ◽  
G. Rodoman ◽  
M. Klimenko ◽  
A. Sokolov ◽  
A. Sokolov
Keyword(s):  
Quality Of Life ◽  
Hiatal Hernia ◽  
Antireflux Surgery ◽  
Nissen Fundoplication ◽  
Laparoscopic Nissen Fundoplication ◽  
Partial Fundoplication ◽  
Surgical Interventions ◽  
Number Of Patients ◽  
Laparoscopic Nissen

The article presents the results of a prospective controlled parallel clinical study of a new modification of laparoscopic antireflux surgery in the treatment of gastroesophageal reflux disease in combination with a hiatal hernia compared with laparoscopic Nissen fundoplication in terms of assessing quality of life after surgery. Clinical and instrumental examination of patients was carried out a year after surgical interventions. In accordance with the results of instrumental examination after surgery, the proposed modification of laparoscopic partial fundoplication is not inferior to laparoscopic Nissen fundoplication both, in terms of relief of reflux esophagitis symptoms and in relation to the recurrence of hiatal hernia. Clinical monitoring indicates a significantly higher quality of life for patients after the modified antireflux surgery, which is associated with a number of factors. The implementation of this fundoplication led to a decrease in the number of patients with complaints of dysphagia, the development of which is directly related to the surgery performance, as well as to a statistically significant reduction of bloating in the upper abdomen. Another advantage of the modified surgery is a significantly smaller number of cases of gas-bloat syndrome. In addition, the disorders developing in the framework of the gas bloat syndrome after laparoscopic Nissen fundoplication are more severe.

Severe Referred Shoulder Pain Following Revision Fundoplication From a Stich on the Diaphragm

2021 ◽  
pp. 000313482110111
Author(s):  
Kevin J. Gale ◽  
Santana Sanchez ◽  
Thomas J. Sorenson ◽  
Todd D. Elftmann
Keyword(s):  
Hiatal Hernia ◽  
Shoulder Pain ◽  
Medical Management ◽  
Nissen Fundoplication ◽  
Left Shoulder ◽  
Toupet Fundoplication

Complications following fundoplication surgery for hiatal hernias are rare. Herein, we present the case of a 61-year-old woman who underwent a Nissen fundoplication, complicated by dysphagia, and a revision modified Toupet fundoplication for a hiatal hernia, after which she began to experience severe prandial referred left shoulder pain that was refractory to medical management. We hypothesized that a diaphragmatic suture placed during the revision fundoplication could be the source of the pain, and we elected to remove the suture, resulting in resolution of the pain. This pain remained resolved at the most recent follow-up on postoperative week six, and the patient had no further concerns.

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