JTCS St. Jude Medical
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Leonardi, H. K.
Right arrow Articles by Ellis, F. H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Leonardi, H. K.
Right arrow Articles by Ellis, F. H., Jr

The Journal of Thoracic and Cardiovascular Surgery, Vol 81, 50-56, Copyright © 1981 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Reoperation for complications of the Nissen fundoplication

HK Leonardi, RE Crozier and FH Ellis Jr

Case histories of 25 patients are reported in whom complications after a Nissen fundoplication were sufficiently severe to require reoperation. Patients were classified by complications as having postoperative dysphagia (14), recurrent reflux (seven), "gas bloat" syndrome (two), and paraesophageal hernia (two). Six of the 14 patients with dysphagia had no esophageal peristalsis, one had a panmural fibrous stricture, and had a "slipped" Nissen, and in six the wrap was presumed to have been fashioned too tightly. Too tight a wrap was also responsible for the seven instances of recurrent reflux and the two of "gas bloat" syndrome. Revision of the fundoplication relieved the symptoms in the 15 patients in whom it was done. A variety of surgical procedures were performed on the other 10, all but one of whom experienced a good result. Proper selection of patients for operation coupled with attention to certain technical surgical details will ensure good results in 90% of patients after a Nissen fundoplication.


This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
O. Awais, J. D. Luketich, J. Tam, K. Irshad, M. J. Schuchert, R. J. Landreneau, and A. Pennathur
Roux-en-Y near esophagojejunostomy for intractable gastroesophageal reflux after antireflux surgery.
Ann. Thorac. Surg., June 1, 2008; 85(6): 1954 - 1959.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
G. A. Ohnmacht, C. Deschamps, S. D. Cassivi, F. C. Nichols III, M. S. Allen, C. D. Schleck, and P. C. Pairolero
Failed Antireflux Surgery: Results After Reoperation
Ann. Thorac. Surg., June 1, 2006; 81(6): 2050 - 2054.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
M. Migliore and G. Deodato
Clinical features and oesophageal motility in patients with tight fundoplication
Eur. J. Cardiothorac. Surg., September 1, 1999; 16(3): 266 - 272.
[Abstract] [Full Text] [PDF]

Home page
 Arch SurgHome page
N. R. Floch, R. A. Hinder, P. J. Klingler, S. A. Branton, M. H. Seelig, T. Bammer, and C. J. Filipi
Is Laparoscopic Reoperation for Failed Antireflux Surgery Feasible?
Arch Surg, July 1, 1999; 134(7): 733 - 737.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
C. Deschamps, V. F. Trastek, M. S. Allen, P. C. Pairolero, J. O. Johnson, and D. R. Larson
LONG-TERM RESULTS AFTER REOPERATION FOR FAILED ANTIREFLUX PROCEDURES
J. Thorac. Cardiovasc. Surg., March 1, 1997; 113(3): 545 - 551.
[Abstract] [Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1981 by The American Association for Thoracic Surgery.