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Related Experiment Video

Updated: Jul 13, 2026

Robotic Myotomy and Partial Fundoplication for Achalasia
11:19

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Published on: August 11, 2023

[Persistent dysphagia after laparoscopic fundoplication].

Uberto Fumagalli1, Stefano Bona, Francesco Battafarano

  • 1UO di Chirurgia Generale e Mininvasiva.

Chirurgia Italiana
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PubMed
Summary

Postoperative dysphagia affects less than 5% of patients after fundoplication surgery for gastro-oesophageal reflux disease. Re-operation and endoscopic pneumatic dilatation offer good outcomes for persistent symptoms.

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Area of Science:

  • Gastroenterology
  • Surgical Outcomes
  • Digestive Diseases

Context:

  • Fundoplication is a common surgical treatment for gastro-oesophageal reflux disease (GERD).
  • Postoperative dysphagia is a recognized complication following anti-reflux surgery.
  • Managing persistent dysphagia requires understanding its incidence and treatment efficacy.

Purpose:

  • To analyze the incidence, therapy, and outcomes of postoperative dysphagia after fundoplication for GERD.
  • To evaluate the effectiveness of endoscopic pneumatic dilatation and re-operation for dysphagia management.
  • To assess the long-term results of surgical interventions for persistent dysphagia.

Summary:

  • A retrospective study of 276 patients undergoing fundoplication for GERD found a 9.1% incidence of major postoperative dysphagia.
  • Persistent dysphagia occurred in 3.6% of patients; endoscopic pneumatic dilatation improved symptoms in 62%, and re-operation yielded good results in 77% when anatomical defects were identified.
  • Less than 5% of patients experience persistent postoperative dysphagia, with re-operation showing significant symptom improvement in 75% of cases.

Impact:

  • Provides crucial data on the prevalence and management of a significant complication of fundoplication.
  • Highlights the success rates of endoscopic and surgical interventions for postoperative dysphagia.
  • Informs clinical decision-making regarding the treatment of dysphagia after anti-reflux surgery.