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European Surgery

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01.12.2015 | Short Communication

Hiatal repair to reduce dysphagia in patients with impaired oesophageal motility having 360^° fundoplication: the posterior ‘sling’ repair

verfasst von: G. L. Falk, T. J. D’Netto

Erschienen in: European Surgery | Ausgabe 6/2015

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Summary

Background

Fundoplication in the presence of oesophageal dysmotility as being concerning for the development of postoperative dysphagia. Many techniques of surgery including partial fundoplication have evolved.

Methods

The technique of posterior sling repair of the hiatus avoiding heavy rigid to stitch posterior repair has reduced early dysphagia in our practice.

Result

The operative technique with operative illustrations is described.

Conclusion

Posterior sling repair of the hiatus during a laparoscopic fundoplication in oesophageal dysmotility is feasible and has reduced postoperative dysphagia.

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Montenovo M, Tatum RP, Figueredo E, Martin AV, Vu H, Quiroga E, et al. Does combined multichannel intraluminal esophageal impedance and manometry predict postoperative dysphagia after laparoscopic Nissen fundoplication? Dis Esophagus. 2009 [cited 2015 Jan 3];22:656–63. http://www.ncbi.nlm.nih.gov/pubmed/19515186.CrossRefPubMed

Pizza F, Rossetti G, Rosetti G, Del Genio G, Maffettone V, Brusciano L, et al. Influence of esophageal motility on the outcome of laparoscopic total fundoplication. Dis Esophagus. 2008 [cited 2015 Jan 5];21:78–85. http://www.ncbi.nlm.nih.gov/pubmed/18197944.PubMed

Smith JA, Houghton LA. The oesophagus and cough: laryngo-pharyngeal reflux, microaspiration and vagal reflexes. Cough. 2013;9:12. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3640905&tool=pmcentrez&rendertype=abstract.PubMedCentralCrossRefPubMed

Menguy R. A modified fundoplication which preserves the ability to belch. Surgery. 1978 [cited 2015 Jan 5];84:301–7. http://europepmc.org/abstract/MED/356314.PubMed

Titel: Hiatal repair to reduce dysphagia in patients with impaired oesophageal motility having 360° fundoplication: the posterior ‘sling’ repair
verfasst von: G. L. Falk
T. J. D’Netto
Publikationsdatum: 01.12.2015
Verlag: Springer Vienna
Erschienen in: European Surgery / Ausgabe 6/2015
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI: https://doi.org/10.1007/s10353-015-0351-7

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Hiatal repair to reduce dysphagia in patients with impaired oesophageal motility having 360^° fundoplication: the posterior ‘sling’ repair

Summary

Background

Methods

Result

Conclusion

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