Document Detail


GERD Treatment: Side Effects and Complications of Fundoplication.
MedLine Citation:
PMID:  23267868     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Even skilled surgeons will have complications after antireflux surgery. Fortunately, the mortality is low (< 1%) with laparoscopic surgery, immediate postoperative morbidity uncommon (5%-20%) and conversion to an open operation less than 2.5%. Common late postoperative complications include gas-bloat syndrome (up to 85%), dysphagia (10-50%), diarrhea (18-33%) and recurrent heartburn (10-62%). Most of these complications improve over the 3-6 months after surgery. Dietary modifications, pharmacologic therapies and esophageal dilation may be helpful. Failures after anti-reflux surgery usually occur within the first two years after the initial operation. They fall into five patterns: herniation of the fundoplication into the chest, slipped fundoplication, tight fundoplication, paraesophageal hernia and malposition of the fundoplication. Reoperation rates range from 0% to 15% and should be performed by experienced foregut surgeons.
Authors:
Joel E Richter
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-22
Journal Detail:
Title:  Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association     Volume:  -     ISSN:  1542-7714     ISO Abbreviation:  Clin. Gastroenterol. Hepatol.     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101160775     Medline TA:  Clin Gastroenterol Hepatol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 AGA Institute. Published by Elsevier Inc. All rights reserved.
Affiliation:
Professor of Medicine, Hugh F. Culverhouse Chair for Esophageal Disorders, Director, Division of Digestive Diseases & Nutrition, Director, Joy McCann Culverhouse, Center for Esophageal and Swallowing Disorders, University of South Florida Morsani College of Medicine, 12901 Bruce B. Downs Blvd., MDC 72, Tampa, FL 33612. Electronic address: jrichte1@health.usf.edu.
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