Chronic dysphagia following laparoscopic fundoplication

Bessell, J., Finch, R., Gotley, D. C., Smithers, B. M., Nathanson, L. K. and Menzies, B. L. (2000). Chronic dysphagia following laparoscopic fundoplication. In: British Journal of Surgery. Association of Surgeons of Great Britain and Ireland International Congress 2000, Cardiff, UK, (32-32). 23-26 April, 2000. doi:10.1046/j.1365-2168.2000.00014.x


Author Bessell, J.
Finch, R.
Gotley, D. C.
Smithers, B. M.
Nathanson, L. K.
Menzies, B. L.
Title of paper Chronic dysphagia following laparoscopic fundoplication
Conference name Association of Surgeons of Great Britain and Ireland International Congress 2000
Conference location Cardiff, UK
Conference dates 23-26 April, 2000
Proceedings title British Journal of Surgery   Check publisher's open access policy
Place of Publication West Sussex, UK
Publisher Wiley
Publication Year 2000
DOI 10.1046/j.1365-2168.2000.00014.x
ISSN 0007-1323
1365-2168
Volume 87
Issue Supp. 1
Start page 32
End page 32
Total pages 1
Language eng
Formatted Abstract/Summary
Background
Many surgeons practise tailored laparoscopic antireflux surgery in an attempt to prevent postoperative dysphagia. The aim of this study was to determine the effect of 360° fundoplication (Nissen) or 270° fundoplication (Toupet), and the influence of abnormal oesophageal peristalsis, upon postoperative dysphagia.

Methods
This was a cohort study from three tertiary referral centres, using dysphagia before laparoscopic fundoplication and 1 year after operation as the main outcome variable. Preoperative oesophageal manometry was performed on all patients.

Results
Some 761 patients underwent Nissen and 85 underwent Toupet fundoplication. Only 2 per cent reported severe postoperative dysphagia. There was a significant selection bias towards the Toupet operation for patients with abnormal oesophageal motility (P < 0·001). For patients whose oesophageal manometric findings were normal there was a significant improvement in dysphagia after Nissen fundoplication (P = 0·02), and no significant change following Toupet fundoplication. There was no significant change in the rate of dysphagia following either method of fundoplication amongst other subgroups in which oesophageal manometry was stratified as non-specific motor disorder, low-amplitude peristalsis, or aperistalsis.

Conclusion
A tailored approach to the degree of fundoplication is unnecessary as patients with dysmotility suffer no more dysphagia after full laparoscopic Nissen fundoplication than those who have a partial Toupet wrap. © 2000 British Journal of Surgery Society Ltd
Subjects C1
321099 Clinical Sciences not elsewhere classified
730109 Surgical methods and procedures
110203 Respiratory Diseases
Q-Index Code C1
Additional Notes Article DOI includes all published abstracts pp. 32-33. Article number: UGI: 008

Document type: Conference Paper
Collection: School of Medicine Publications
 
Versions
Version Filter Type
Citation counts: Google Scholar Search Google Scholar
Created: Thu, 08 Jul 2010, 10:29:19 EST by Laura McTaggart on behalf of Faculty Of Health Sciences