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World Journal of Surgery

, Volume 36, Issue 4, pp 838–843 | Cite as

Outcome Following Management of Dysphagia after Laparoscopic Anti-reflux Surgery

  • Huiqi Yang
  • Cindy Meun
  • Xiangyu Sun
  • David I. WatsonEmail author
Article

Abstract

Background

Some patients develop troublesome dysphagia after laparoscopic antireflux surgery, and a proportion require further intervention. The management of this problem was evaluated.

Methods

Patients who underwent intervention for dysphagia after laparoscopic fundoplication were identified from a database. Outcomes were prospectively determined from a standardized questionnaire that evaluated symptoms scores for dysphagia for solids and liquids, as well as patient satisfaction with the overall outcome. Outcomes 1 year after reintervention, and at the most recent follow-up were evaluated.

Results

From 1994 to 2009, 121 (6.6%) of 1,821 patients who underwent laparoscopic fundoplication for gastroesophageal reflux also underwent endoscopic or surgical reintervention for dysphagia. Of these 121 patients, 56 underwent endoscopic dilatation, and 24 were satisfied with the outcome of dilatation; 18 progressed to surgery, and dysphagia persisted in 14 of them. Overall, 83 patients underwent revisional surgery, and 47 (62.7%) were satisfied with the outcome. Compared to patients who did not undergo any intervention for dysphagia, patients who underwent reintervention had lower satisfaction scores and higher dysphagia scores.

Conclusions

Approximately two thirds of patients with troublesome post-fundoplication dysphagia have a satisfactory outcome following either endoscopic dilatation or revisional surgery. However, approximately one third continue to be troubled by symptoms, despite further intervention.

Keywords

Antireflux Surgery Revisional Surgery Endoscopic Dilatation Partial Fundoplication Laparoscopic Antireflux Surgery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgments

The authors are grateful to their colleagues from the Royal Adelaide Hospital and Flinders Medical Centre who contributed clinical cases to the database. Tanya Irvine and Lorelle Smith supported this study data entry and data extraction.

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Copyright information

© Société Internationale de Chirurgie 2012

Authors and Affiliations

  • Huiqi Yang
    • 1
  • Cindy Meun
    • 1
  • Xiangyu Sun
    • 1
  • David I. Watson
    • 1
    Email author
  1. 1.Flinders University Department of SurgeryBedford ParkAustralia

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