Related Experiment Videos
Dilation after fundoplication: timing, frequency, indications, and outcome.
Navreet Malhi-Chowla1, Piotr Gorecki, Tanja Bammer
1Division of Gastroenterology and Department of General Surgery, Mayo Clinic, Jacksonville, Florida 32224, USA.
Gastrointestinal Endoscopy
|January 31, 2002
Summary
Dilation is a safe and effective treatment for dysphagia after fundoplication surgery, with most patients requiring only one procedure. Other symptoms like chest pain or gas bloat did not improve with dilation.
Area of Science:
- Gastroenterology
- Surgical Outcomes
- Esophageal Motility Disorders
Background:
- Dysphagia is a common complication following fundoplication surgery.
- While often self-limiting, persistent dysphagia may require intervention.
Purpose of the Study:
- To evaluate the timing, frequency, indications, and outcomes of dilation for post-fundoplication complications.
- To determine the safety and efficacy of dilation in managing dysphagia after fundoplication.
Main Methods:
- A retrospective review of 233 patients undergoing fundoplication.
- Analysis of preoperative, postoperative, endoscopic, and radiographic data for patients requiring dilation.
- Evaluation of dilation timing, number of sessions, and dilator size used.
Main Results:
- 12.4% of patients (29/233) required dilation, with a mean time of 72 days post-surgery.
- Dysphagia was the primary indication for dilation (20/29 patients).
- Dilation successfully resolved dysphagia in 67% (12/18) of treated patients; other symptoms showed poor response.
Conclusions:
- Dilation is a safe and effective intervention for dysphagia post-fundoplication, with most patients needing a single session.
- Dilation is less effective for non-dysphagia symptoms following fundoplication.
- Further surgical intervention may be necessary for refractory cases or persistent strictures.