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Surgical approach after failed enteryx injection for GERD
A Alzahrani1, M Anvari, B Dallemagne
1IRCAD/European Institute of Telesurgery, Louis Pasteur University, Strasbourg, France.
Summary
Laparoscopic antireflux surgery effectively treats persistent GERD after biopolymer injection. Surgical approach depends on whether polymer deposits can be removed endoscopically prior to the procedure.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Gastroesophageal reflux disease (GERD) can persist despite biopolymer injection therapy.
- Biopolymer injections are used for GERD management, but complications can arise.
Observation:
- Three patients with refractory GERD post-biopolymer injection underwent laparoscopic surgery.
- Two patients had extramural polymer deposits requiring partial posterior fundoplication.
- One patient underwent endoscopic mucosal resection for polymer removal before Nissen fundoplication.
Findings:
- All patients experienced uneventful postoperative recovery.
- At 6-12 months follow-up, all patients were symptom-free and off medication.
- No patients reported dysphagia post-surgery.
Implications:
- Laparoscopic antireflux surgery is a safe and effective treatment option for GERD refractory to biopolymer injection.
- Preoperative endoscopic removal of polymer may influence surgical technique selection.
- This approach offers a viable solution for managing complications from biopolymer injection therapy.
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