Laparoscopic Partial Fundoplication in Case of Gastroesophageal Reflux Disease Patient with Absent Esophageal Motility
نویسندگان
چکیده
The surgical indications for the treatment of gastroesophageal reflux disease (GERD) in patients with esophageal motility disorders have been debated. We report a case of antireflux surgery performed in a patient with absent esophageal motility as categorized by the Chicago classification (2011). A 54-year-old man underwent laparoscopic Toupet fundoplication due to apparent GERD and desire to discontinue all medications. After surgery, his subjective symptoms improved. Furthermore, objective findings including manometry and 24-hour pH-metry also improved. In our experience, antireflux surgery can improve GERD symptoms patients, even with absent esophageal motility.
منابع مشابه
A Case of Postfundoplication Dysphagia without Symptomatic Improvement after Endoscopic Dilatation
Laparoscopic fundoplication is a treatment option for gastroesophageal reflux disease refractory to medical treatment. When deciding whether or not to undergo surgery, patients with refractory gastroesophageal reflux disease and esophageal motility disorder need to fully understand the operative procedure, postoperative complications, and residual symptoms such as dysphagia, globus sensation, a...
متن کاملWhat is the Real Value of Antireflux Surgery?
OBJECTIVE The purpose of this study was to evaluate the changes in esophageal physiology that are produced after laparoscopic surgery in patients with gastroesophageal reflux disease (GERD). METHODS From May 1996 until January 2000, 13 patients with GERD underwent antireflux laparoscopic surgery. In 8 patients, preoperative manometric studies showed motility disorders characterized by a decre...
متن کاملGERD: A Debated Background of Achalasia
Achalasia is a primary esophageal motility disorder of unknown etiology, characterized by aperistalsis of the esophageal body and impaired lower esophageal sphincter (LES) relaxation. Available data suggest that the disease is multifactorial, but the exact initiating factors that may play a role in the development of the disease remain unclear. Case presentation: We report the case of a 65 year...
متن کاملLaparoscopic Surgery for Diverticulum of the Abdominal Esophagus: A Case Report
Diverticulum of the abdominal esophagus is an extremely rare disease. We present a patient with diverticulum of the abdominal esophagus who could be treated successfully by a laparoscopic diverticulectomy with supporting intra-operative endoscopy. In patient with epiphrenic diverticulum, diverticulectomy with myotomy and partial fundoplication is recommended as surgical treatment. This procedur...
متن کاملLaparoscopic fundoplication failures: patterns of failure and response to fundoplication revision.
OBJECTIVE To determine rates and mechanisms of failure in 857 consecutive patients undergoing laparoscopic fundoplication for gastroesophageal reflux disease or paraesophageal hernia (1991-1998), and compare this population with 100 consecutive patients undergoing fundoplication revision (laparoscopic and open) at the authors' institution during the same period. SUMMARY BACKGROUND DATA Gastro...
متن کامل