Laparoscopic clam shell partial fundoplication achieves effective reflux control with reduced postoperative dysphagia and gas bloating.

@article{elSherif2007LaparoscopicCS,
  title={Laparoscopic clam shell partial fundoplication achieves effective reflux control with reduced postoperative dysphagia and gas bloating.},
  author={Amgad E el-Sherif and Prasad S Adusumilli and Brian L. Pettiford and Thomas A d'Amato and Matthew J. Schuchert and Alicia M. Clark and Carmen DiRenzo and Joshua P Landreneau and James D. Luketich and Rodney J. Landreneau},
  journal={The Annals of thoracic surgery},
  year={2007},
  volume={84 5},
  pages={1704-9}
}
BACKGROUND We describe a novel laparoscopic "clam shell" partial fundoplication, incorporating a modified Toupet with an anterior fundic flap for the management of medically recalcitrant gastroesophageal reflux disease. We hypothesize that this clam-shell-like mechanism allows a dynamic rather than rigid circumferential antireflux barrier allowing effective reflux control (compared with partial fundoplication) with reduced occurrence of postoperative dysphagia, gas bloating and vagal nerve… CONTINUE READING

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Twenty five patients ( 17% ) underwent postoperative esophageal dilation ( median dilations , 1 ; range , 1 to 3 ) for dysphagia ( 11 of these patients had preoperative esophageal dysmotility ) .
Twenty five patients ( 17% ) underwent postoperative esophageal dilation ( median dilations , 1 ; range , 1 to 3 ) for dysphagia ( 11 of these patients had preoperative esophageal dysmotility ) .
We hypothesize that this clam - shell - like mechanism allows a dynamic rather than rigid circumferential antireflux barrier allowing effective reflux control ( compared with partial fundoplication ) with reduced occurrence of postoperative dysphagia , gas bloating and vagal nerve injury ( compared with Nissen fundoplication ) . METHODS .
Laparoscopic clam shell partial fundoplication achieves effective reflux control with reduced postoperative dysphagia and gas bloating .
Five patients underwent repeat fundoplication ( recurrent reflux , 2 ; gas bloating , 1 ; dysphagia , 2 ) .
We hypothesize that this clam - shell - like mechanism allows a dynamic rather than rigid circumferential antireflux barrier allowing effective reflux control ( compared with partial fundoplication ) with reduced occurrence of postoperative dysphagia , gas bloating and vagal nerve injury ( compared with Nissen fundoplication ) . METHODS .
Laparoscopic clam shell partial fundoplication achieves effective reflux control with reduced postoperative dysphagia and gas bloating .
Five patients underwent repeat fundoplication ( recurrent reflux , 2 ; gas bloating , 1 ; dysphagia , 2 ) .
Laparoscopic clam shell partial fundoplication achieves effective reflux control with reduced postoperative dysphagia and gas bloating .
Five patients underwent repeat fundoplication ( recurrent reflux , 2 ; gas bloating , 1 ; dysphagia , 2 ) .
We hypothesize that this clam - shell - like mechanism allows a dynamic rather than rigid circumferential antireflux barrier allowing effective reflux control ( compared with partial fundoplication ) with reduced occurrence of postoperative dysphagia , gas bloating and vagal nerve injury ( compared with Nissen fundoplication ) . METHODS .
Twenty five patients ( 17% ) underwent postoperative esophageal dilation ( median dilations , 1 ; range , 1 to 3 ) for dysphagia ( 11 of these patients had preoperative esophageal dysmotility ) .
Laparoscopic clam shell partial fundoplication achieves effective reflux control with reduced postoperative dysphagia and gas bloating .
Five patients underwent repeat fundoplication ( recurrent reflux , 2 ; gas bloating , 1 ; dysphagia , 2 ) .
We hypothesize that this clam - shell - like mechanism allows a dynamic rather than rigid circumferential antireflux barrier allowing effective reflux control ( compared with partial fundoplication ) with reduced occurrence of postoperative dysphagia , gas bloating and vagal nerve injury ( compared with Nissen fundoplication ) . METHODS .
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