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Reoperation for Disruption and Recurrence After Nissen Fundoplication
Lucius D. Hill, MD;
Riivo Ilves, MD;
John K. Stevenson, MD;
Joseph M. Pearson, MD
Arch Surg. 1979;114(4):542-548.
Abstract
This report deals with 25 failed Nissen operations. A method of classifying the type of failure is presented. Manometric studies document disordered motor activity in ten of these patients with return to normal activity after rerepair. With these difficult patients, intraoperative manometrics allowed a satisfactory antireflux barrier to be created with posterior gastropexy. Good to excellent results were achieved in 22 of 24 patients. A search of the world literature is presented with complications ranging from the well-known "gas-bloat" syndrome to potentially lethal fistulas.
(Arch Surg 114:542-548, 1979)
Author Affiliations
From the Department of Surgery, Virginia Mason Medical Center, Seattle (Drs Hill, lives, and Pearson), and the Department of Surgery, University of Washington, Seattle (Drs Hill, lives, and Stevenson). Dr lives is a Howard Wright Fellow in Surgical Research. Dr Pearson is a former Fellow in Surgery from the Norman Archibald Foundation.
Footnotes
Accepted for publication Dec 18, 1978.
Read before the 86th annual meeting of the Western Surgical Association, Scottsdale, Ariz, Nov 14, 1978.
Reprint requests to Virginia Mason Medical Center, 1100 Ninth Ave, Seattle, WA 98111 (Dr Hill).
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