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Postoperative Gastrointestinal Complaints After Laparoscopic Nissen Fundoplication

OBJECTIVES: Approximately 80% of patients complain of various symptoms immediately after laparoscopic Nissen fundoplication. These symptoms typically are treated medically without an extensive evaluation to identify the cause. We reviewed our experience of laparoscopic Nissen fundoplication to deter...

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Autores principales: Frantzides, Constantine T., Carlson, Mark A., Zografakis, John G., Moore, Ronald E., Zeni, Tallal, Madan, Atul K.
Formato: Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2006
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015672/
https://www.ncbi.nlm.nih.gov/pubmed/16709355
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author Frantzides, Constantine T.
Carlson, Mark A.
Zografakis, John G.
Moore, Ronald E.
Zeni, Tallal
Madan, Atul K.
author_facet Frantzides, Constantine T.
Carlson, Mark A.
Zografakis, John G.
Moore, Ronald E.
Zeni, Tallal
Madan, Atul K.
author_sort Frantzides, Constantine T.
collection PubMed
description OBJECTIVES: Approximately 80% of patients complain of various symptoms immediately after laparoscopic Nissen fundoplication. These symptoms typically are treated medically without an extensive evaluation to identify the cause. We reviewed our experience of laparoscopic Nissen fundoplication to determine the course of postoperative symptomatology in our patient population, and present a rational approach to this problem. METHODS: Over a 10-year period, 628 patients underwent primary laparoscopic Nissen fundoplication for gastroesophageal reflux disease; patients were evaluated with a standard set of questions for postoperative gastrointestinal complaints. Three- and 6-month follow-up data were compared by using the chi square test. RESULTS: One-year follow-up data were available for 615 patients (98%). All of these patients had symptoms during the first 3 postoperative months. Early satiety (88%), bloating/flatulence (64%), and dysphagia (34%) were the most common; however, 94% of patients had resolution of their symptoms by the 1-year follow-up visit, and most had resolved after 3 months. Patients with persistent reflux or dysphagia after 3 months typically had an anatomic failure of the operation. CONCLUSIONS: Most patients who have undergone laparoscopic Nissen fundoplication for gastroesophageal re-flux disease will have gastrointestinal complaints during the initial 3 postoperative months. Nearly all of these patients will have resolved their symptomatology after 3 months. Those with persistent symptoms after 3 months warrant evaluation for operative failure.
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spelling pubmed-30156722011-02-17 Postoperative Gastrointestinal Complaints After Laparoscopic Nissen Fundoplication Frantzides, Constantine T. Carlson, Mark A. Zografakis, John G. Moore, Ronald E. Zeni, Tallal Madan, Atul K. JSLS Scientific Papers OBJECTIVES: Approximately 80% of patients complain of various symptoms immediately after laparoscopic Nissen fundoplication. These symptoms typically are treated medically without an extensive evaluation to identify the cause. We reviewed our experience of laparoscopic Nissen fundoplication to determine the course of postoperative symptomatology in our patient population, and present a rational approach to this problem. METHODS: Over a 10-year period, 628 patients underwent primary laparoscopic Nissen fundoplication for gastroesophageal reflux disease; patients were evaluated with a standard set of questions for postoperative gastrointestinal complaints. Three- and 6-month follow-up data were compared by using the chi square test. RESULTS: One-year follow-up data were available for 615 patients (98%). All of these patients had symptoms during the first 3 postoperative months. Early satiety (88%), bloating/flatulence (64%), and dysphagia (34%) were the most common; however, 94% of patients had resolution of their symptoms by the 1-year follow-up visit, and most had resolved after 3 months. Patients with persistent reflux or dysphagia after 3 months typically had an anatomic failure of the operation. CONCLUSIONS: Most patients who have undergone laparoscopic Nissen fundoplication for gastroesophageal re-flux disease will have gastrointestinal complaints during the initial 3 postoperative months. Nearly all of these patients will have resolved their symptomatology after 3 months. Those with persistent symptoms after 3 months warrant evaluation for operative failure. Society of Laparoendoscopic Surgeons 2006 /pmc/articles/PMC3015672/ /pubmed/16709355 Text en © 2006 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Scientific Papers
Frantzides, Constantine T.
Carlson, Mark A.
Zografakis, John G.
Moore, Ronald E.
Zeni, Tallal
Madan, Atul K.
Postoperative Gastrointestinal Complaints After Laparoscopic Nissen Fundoplication
title Postoperative Gastrointestinal Complaints After Laparoscopic Nissen Fundoplication
title_full Postoperative Gastrointestinal Complaints After Laparoscopic Nissen Fundoplication
title_fullStr Postoperative Gastrointestinal Complaints After Laparoscopic Nissen Fundoplication
title_full_unstemmed Postoperative Gastrointestinal Complaints After Laparoscopic Nissen Fundoplication
title_short Postoperative Gastrointestinal Complaints After Laparoscopic Nissen Fundoplication
title_sort postoperative gastrointestinal complaints after laparoscopic nissen fundoplication
topic Scientific Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015672/
https://www.ncbi.nlm.nih.gov/pubmed/16709355
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