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Endoscopic Evaluation of Post-Fundoplication Anatomy.
Walaa F Abdelmoaty1, Lee L Swanstrom2,3
1Providence Portland Medical Center, Portland, OR, USA.
Current Gastroenterology Reports
|August 26, 2017
Summary
Endoscopic evaluation of post-fundoplication anatomy is crucial for assessing outcomes and planning reoperations. While no standardized system exists, endoscopy aids in quality control and complex cases like paraesophageal hernias.
Area of Science:
- Gastroenterology
- Surgical Endoscopy
Background:
- Fundoplication is a common surgical procedure for gastroesophageal reflux disease.
- Post-operative assessment of fundoplication anatomy is essential for evaluating success and identifying complications.
Purpose of the Study:
- To review the role of endoscopic evaluation in assessing post-fundoplication anatomy.
- To determine the utility of endoscopy in evaluating fundoplication outcomes and planning reoperations for failed procedures.
Main Methods:
- Literature review of studies on endoscopic evaluation of post-fundoplication anatomy.
- Analysis of reported endoscopic findings in successful and failed fundoplications.
Main Results:
- No universally accepted endoscopic system for evaluating post-fundoplication anatomy exists.
- Post-operative endoscopy serves as a quality control measure and is valuable in complex cases, including repeat procedures and paraesophageal hernias (PEH).
- Endoscopic assessment aids in evaluating operative repair outcomes and pre-operative planning for failed fundoplications.
Conclusions:
- Endoscopic evaluation of post-fundoplication anatomy plays a significant role in assessing outcomes and planning reoperations.
- Standardization of endoscopic reporting and classification for failed fundoplications is lacking.
- Further research is needed to establish the applicability and reproducibility of proposed endoscopic evaluation systems.
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