Anatomical deformities after laparoscopic antireflux surgery

Area of Science:

• Gastroenterology
• Surgical Procedures
• Radiology

Background:

• Gastroesophageal reflux disease (GERD) is commonly treated with laparoscopic anti-reflux surgeries.
• Reported postoperative failure rates range from 10% to 15%, leading to persistent symptoms or recurrent GERD.

Purpose of the Study:

• To investigate postoperative radiological findings in patients who underwent anti-reflux surgery.
• To correlate observed deformities with clinical symptoms and evaluate the efficacy of redo surgery.

Main Methods:

• Retrospective analysis of 38 patients undergoing various anti-reflux procedures.
• Postoperative barium swallow examinations to identify anatomical abnormalities.
• Correlation of radiological findings with patient symptoms and treatment outcomes.

Main Results:

• Abnormalities were identified in postoperative barium swallows, including bilobed stomach and strictures (46%) after Nissen-Rossetti procedures.
• Common symptoms associated with deformities were pain (62%), dysphagia (43%), and early satiety (37%).
• Ten patients underwent redo surgery with conservative management for others; redo surgery showed no complications and good results.

Conclusions:

• Postoperative radiological evaluation is crucial for identifying deformities after anti-reflux surgery.
• Specific surgical techniques may be associated with particular complications.
• Redo surgery can be a safe and effective option for managing complications and improving outcomes in selected patients.