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[Completed calibrated fundoplication].

P Segol, M V Ahkong, P Marchand

    Presse Medicale (Paris, France : 1983)
    |January 19, 1985
    PubMed
    Summary
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    This study refined fundoplication surgery for gastro-oesophageal reflux disease (GERD) using a 50F probe. The modified technique effectively reduced side-effects like dysphagia while maintaining high reflux-free rates.

    Area of Science:

    • Gastroenterology
    • Surgical Innovation
    • Reflux Management

    Context:

    • Gastro-oesophageal reflux (GERD) is effectively treated by fundoplication.
    • Standard fundoplication can cause side-effects such as dysphagia, inability to eructate, and gastric distension.

    Purpose:

    • To evaluate a modified fundoplication technique using a 50F probe for reduced side-effects.
    • To assess the long-term efficacy and safety of this modified surgical approach.

    Summary:

    • Fifty-five patients underwent a modified fundoplication involving wide gastric release and a tension-free valve created around a 50F probe.
    • After 1 year, 94% were reflux-free, with 22% experiencing mild dysphagia.
    • At 3 years, 94% remained reflux-free, with 12% reporting mild dysphagia and 6% issues with eructation.

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    Impact:

    • The modified fundoplication significantly reduces common side-effects while maintaining high efficacy in GERD treatment.
    • This technique offers a safer alternative for patients undergoing surgical management of GERD.
    • Improved patient outcomes and quality of life are anticipated with this refined surgical method.