DYSPHAGIA; ACHILLES TENDON OF LAPAROSCOPIC NISSEN’S FUNDOPLICATION
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Keywords
Gastroesophageal Reflux, hiatal hernia, laparoscopic Nissen fundoplication, dysphagia.
Abstract
Background: Nissen fundoplication is a contemporary strategy for alleviating symptoms, leading to an increase in overall quality of life (QoL). The effectiveness of antireflux surgery may be limited by complications of Nissen fundoplication, including the inability to vomit or belch, increased bloating, dysphagia, and recurrence.
Methods: Forty patients with gastroesophageal reflux disease (GERD) and hiatus hernia (NHS) were included in our study from July 2019 to July 2022 and underwent Laparoscopic Nissen Fundoplication (LNF).
Results: Preoperative complaints of patients included regurgitation at 30%, heartburn at 90%, dysphagia at 17.5%, bronchial asthma at 12.5%, and chronic cough at 7.5%. There were 30% with GERD, 15% with NHS, and a combined GERD with NHS was present in 55%. The mean operative time was 66.5 hours. The mean time for hospital stay was 19.4 hours.
Regarding postoperative dysphagia, 18 patients (45%) complained of dysphagia {16 patients resolved spontaneously one month later as they were mild, and two patients improved three months with balloon dilatation as there were moderate}.
Conclusion: LNF can be performed without postoperative dysphagia with meticulousness and a number of precautionary measures.
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Ayman M Elwan
MD, Al-Azhar University, Faculty of Medicine, General Surgery Department, New Damietta, Damietta, 34517, Egypt. Mob: 01006878964; fax: 0572406787,
Ahmed Abd El Aal Sultan
Al-Azhar University, Cairo, Egypt
Mohamed Bakheet Gaber
Al-Azhar University, Assiut, Egypt
Gamal Galal Shemy
Al-Azhar University, Assiut, Egypt
Ahmed M Hassan
Al-Azhar University, Assiut, Egypt
Lotfy Abdalstar
Al-Azhar University, Cairo, Egypt
Mohamed Naroz
Al-Azhar University, Damietta, Egypt
Mohamed Eid
Al-Azhar University, Damietta, Egypt
Mohamed Aboalkher
Al-Azhar University, Damietta, Egypt
Abd Alhamed H Mohammedain
Al-Azhar University, Damietta, Egypt
Khaled Maher
Al-Azhar University, Damietta, Egypt
Mohammed A Nafea
Al-Azhar University, Cairo, Egypt
Mohamed S. Hemeda
Department of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Port Said University, Port Said, Egypt