Nissen Fundoplication

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Nissen Fundoplication
added:
5 months ago
views:
228
specialty:
General Surgery

Case description

A very effective and popular antireflux procedure is the Nissen fundoplication, which can be safely done via the laparoscopic route. Preoperative evaluation should include contrast radiography, esophagoduodenoscopy (EGD) with biopsies, esophageal manometry, and 24-hour pH monitoring. Indications for surgery include failure or inability to continue on medical therapy, GERD-related respiratory symptoms, and severe complications of GERD, such as ulceration, stricture, and Barrett's esophagus. A short, loose Nissen fundoplication is ideal for patients with normal esophageal body motility.

tags: nissen fundoplication antireflux procedure laparoscopic video case esophagoduodenoscopy EGD esophageal manometry

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