Related Experiment Video
Updated: Jun 9, 2026
04:05
Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
Gastric emptying and antireflux surgery.
José Estevão-Costa1, Ana Catarina Fragoso, Maria José Prata
1Division of Pediatric Surgery, Faculty of Medicine of Porto, Hospital S. João, Porto, Portugal. estevao.costa@hsjoao.min-saude.pt
Pediatric Surgery International
|August 26, 2010
Summary
Fundoplication significantly accelerates gastric emptying in children, improving outcomes. Preoperative gastric emptying studies and concurrent drainage procedures are not recommended after fundoplication.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Nuclear Medicine
Background:
- Data on gastric emptying after fundoplication is inconsistent.
- Concerns exist regarding preoperative workup and surgical management for gastric emptying issues.
- This study investigates gastric emptying changes following fundoplication.
Purpose of the Study:
- To assess the evolution of gastric emptying after isolated fundoplication.
- To determine the necessity of preoperative gastric emptying investigations.
- To evaluate the need for concurrent gastric drainage procedures.
Main Methods:
- Eleven children with GERD underwent pre- and post-operative gastric emptying scintigraphy.
- Standardized scintigraphy protocol with a radiolabeled meal was used.
- No gastric drainage procedures were performed concurrently with fundoplication.
Main Results:
- Postoperative gastric emptying half-emptying time (t½) was significantly lower (76 vs. 107 min, p=0.04).
- The proportion of patients with delayed gastric emptying decreased significantly post-surgery (9% vs. 55%, p=0.03).
- Postoperative emptying rate increased significantly, and retention at 90 and 120 min was lower.
Conclusions:
- Fundoplication leads to a significant acceleration of gastric emptying.
- Most patients exhibit normalized gastric emptying post-surgery.
- Preoperative scintigraphy does not predict outcomes, and drainage procedures appear unnecessary.
Related Concept Videos
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 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...
01:16Gastric Emptying
Gastric emptying occurs when the stomach gradually releases chyme into the duodenum. When the stomach is distended, it triggers the release of gastrin, a hormone that promotes gastric acid secretion to aid in digestion. Additionally, stomach distension contributes to peristaltic waves that propel gastric contents toward the pyloric region. The gastroenteric reflex, on the other hand, primarily stimulates peristalsis in the intestines, facilitating the movement of contents further along the...
01:11Pyloric Obstruction
Pyloric obstruction, also referred to as gastric outlet obstruction, is a condition characterized by narrowing or blockage at the pylorus—the muscular valve regulating the flow of stomach contents into the duodenum. When this passage becomes impaired, the stomach cannot effectively empty its contents into the small intestine. This disruption leads to a range of gastrointestinal symptoms, including early satiety, bloating, epigastric pain, postprandial nausea, persistent vomiting, and...
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to: