Reoperation for Disruption and Recurrence After Nissen Fundoplication
Copyright policy )Reoperation for Disruption and Recurrence After Nissen Fundoplication
This report deals with 25 failed Nissen operations. A method of classifying the type of failure is presented. Manometric studies document disordered motor activity in ten of these patients with return to normal activity after repair. With these difficult patients, intraoperative manometrics allowed a satisfactory antireflux barrier to be created with posterior gastropexy. Good to excellent results were achieved in 22 of 24 patients. A search of the world literature is presented with complications ranging from the well-known "gas-bloat" syndrome to potentially lethal fistulas.
Gastric Fistula, Hernia, Diaphragmatic, Manometry, Stomach, Hernia, Hiatal, Postoperative Complications, Gastroesophageal Reflux, Pressure, Humans, Bronchial Fistula, Esophagogastric Junction, Esophagitis, Peptic, Follow-Up Studies
Gastric Fistula, Hernia, Diaphragmatic, Manometry, Stomach, Hernia, Hiatal, Postoperative Complications, Gastroesophageal Reflux, Pressure, Humans, Bronchial Fistula, Esophagogastric Junction, Esophagitis, Peptic, Follow-Up Studies
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