Related Experiment Video
Updated: Jul 14, 2026
04:14
Technical Considerations and Approach to Redo Foregut Surgery
Published on: September 22, 2023
Can recurrent reflux disease after fundoplication be circumvented by adding a vagotomy?
1Department of Surgery, M.S. Ramaiah Medical Teaching Hospital, Bangalore, India. dhale29@rediffmail.com
International Surgery
|May 24, 2007
Summary
Open Nissen fundoplication combined with vagotomy effectively treats gastro-esophageal reflux disease (GERD) and hiatus hernia. Adding vagotomy to fundoplication helps prevent recurrent reflux, offering significant benefits in surgical outcomes.
Area of Science:
- Gastroenterology
- Surgical Treatment
- Digestive System Disorders
Background:
- Gastro-esophageal reflux disease (GERD) stems from a compromised lower esophageal sphincter.
- Open Nissen fundoplication is a primary surgical intervention for GERD and hiatus hernia.
Purpose of the Study:
- To evaluate the symptomatic and endoscopic outcomes of open Nissen fundoplication.
- To assess the added benefits of truncal vagotomy when combined with fundoplication for GERD treatment.
Main Methods:
- A series of 21 cases undergoing open Nissen fundoplication were studied.
- Symptomatic results and endoscopic improvements were quantified.
- Comparison between fundoplication alone and combined with truncal vagotomy.
Main Results:
- Open Nissen fundoplication demonstrated symptomatic and endoscopic improvements.
- The addition of truncal vagotomy appeared to reduce the incidence of recurrent reflux disease.
Conclusions:
- Combining vagotomy with Nissen fundoplication is recommended for surgical treatment of GERD and hiatus hernia.
- Vagotomy, potentially with a drainage procedure, offers additional benefits in preventing recurrent reflux.
Related Concept Videos
01:29Gastroesophageal Reflux Disease II: Clinical Features and Management
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
01:29Gastroesophageal Reflux Disease I: Meaning and Pathophysiology
Gastroesophageal Reflux Disease (GERD) involves the recurrent backflow of the stomach or duodenal contents into the esophagus, leading to troublesome symptoms and potential esophageal mucosal damage. Although GERD is often referred to as a disease, it is more accurately described as a syndrome, as it encompasses a range of symptoms and complications rather than a singular pathological entity, impacting a large number of individuals as the most prevalent upper gastrointestinal problem. Roughly...
01:26Esophageal Strictures-II: Clinical Features and Management
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
01:25Gastroesophageal Reflux Disease
Gastroesophageal reflux disease (GERD) is the backward flow of stomach contents (acid, pepsin, or bile) into the esophagus, causing mucosal inflammation known as esophagitis. It results from failure of antireflux mechanisms, mainly the lower esophageal sphincter (LES), influenced by mechanical and physiological factors.Etiology and Risk FactorsGERD develops when LES function is weakened or when intra-abdominal pressure increases. Risk factors include aging, obesity, and sliding hiatal hernia,...
01:30Esophageal Strictures-I: Introduction
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...