Abstract
Background
The long-term results of endoluminal gastroplication (ELGP) for gastroesophageal reflux disease (GERD) are still under investigation. Laparoscopic Nissen fundoplication (LNF) has unquestionable results in the treatment of GERD and, therefore, it would be unfortunate to compromise this treatment option by performing alternative therapies such as ELGP.
Methods
Six patients underwent ELGP for the treatment of GERD symptoms. After symptoms returned, these patients elected to have a LNF.
Results
There was no sign of periesophagitis or intraperitoneal adhesion formation found at hiatal dissection that hindered or complicated the LNF procedure. Recent follow-up has shown that the patient’s GERD symptom scores have decreased, as expected after a de novo LNF.
Conclusion
ELGP does not alter the surgical dissection or results of a subsequent LNF.
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References
Cadiere GB, Himpens J, Rajan A, Muls V, Lemper JC, Bruyns J, et al. (1997) Laparoscopic Nissen fundoplication: laparoscopic dissection technique and results. Hepatogastroenterol 44: 4–10
Dent J, Brun J, Fendrick AM (1999) An evidence-based appraisal of reflux disease management—the Genval Workshop Report. Gut 44: S1–S16
Filipi CJ, Lehman GA, Rothstein RI, Raijman I, Stiegmann GV, Waring JP, Hunter JG, et al. (2001) Transoral, flexible endoscopic suturing for treatment of GERD: a multicenter trial. Gastrointest Endosc 53: 416–422
Galmiche JP, Bruley des Varannes S (1994) Symptoms and disease severity in gastro-oesophageal reflux disease. Scand J Gastroenterol Suppl 201: 62–68
Liu JJ, Glickman JN, Carr-Locke DL, Brooks DC, Saltzman JR (2004) Gastroesophageal junction smooth muscle remodeling after endoluminal gastroplication. Am J Gastroenterol 99: 1895–1901
Mahmood Z, Byrne PJ, McCullougj J. Arfin Q, McMahon BP, Murphy E, et al. (2002) A comparison of BARD Endocinch transesophageal endoscopic plication (BETEP) with laparoscopic Nissen fundoplication (LNF) for the treatment of gastroesophageal reflux disease (GERD) [abstr] Gastrointest Endosc 55(5): 463
Menon VS, Manson JM, Baxter JN (2003) Laparoscopic fundoplication: learning curve and patient satisfaction. Ann R Coll Surg Engl 85: 10–13
Modlin I, Kidd M (2004) GERD 2003: issues from the past and a consensus for the future. Best Pract Res Clin Gastroenterol 18(suppl): 55–66
Oliveria SA, Christos PJ, Talley NJ, Dannenberg AJ (1999) Heartburn risk factors, knowledge, and prevention strategies: a population-based survey of individuals with heartburn. Arch Intern Med 159: 1592–1598
Sandler RS, Everhart JE, Donowitz M, Adams E, Cronin K, Goodman C, et al. (2002) The burden of selected digestive diseases in the United States. Gastroenterology 122: 1500–1511
Velanovich V, Ben Menachem T (2002) Laparoscopic Nissen fundoplication after failed endoscopic gastroplication. J Laparoendosc Adv Surg Tech A 12: 305–308
Yacavone RF, Locke GR, Provenzale DT, Eisen GM (2001) Quality of life measurement in gastroenterology: what is available? Am J Gastroenterol 96: 285–297
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Tierney, B., Iqbal, A., Haider, M. et al. Effects of prior endoluminal gastroplication on subsequent laparoscopic Nissen fundoplication. Surg Endosc 21, 321–323 (2007). https://doi.org/10.1007/s00464-005-0065-1
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DOI: https://doi.org/10.1007/s00464-005-0065-1