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He S, Jia Y, Xu F, Li Q, Xiong X, Wang H, Jing X, Yang X, He L, Wang H, Tao X. Transient delayed gastric emptying following laparoscopic Nissen fundoplication for gastroesophageal reflux disease. Langenbecks Arch Surg 2021; 406:1397-1405. [PMID: 33825044 DOI: 10.1007/s00423-021-02156-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2020] [Accepted: 03/22/2021] [Indexed: 11/26/2022]
Abstract
PURPOSE Although laparoscopic Nissen fundoplication (LNF) is a kind of minimally invasive surgery, some transition time may still be required to allow the fundoplicated stomach to adapt to the new anatomical position. We observed transient delayed gastric emptying (DGE) post-LNF in our preliminary study. This study aimed to investigate the occurrence rate and development of transient DGE post-LNF. METHODS Patients who underwent LNF for gastroesophageal reflux disease (GERD) at our institution were recruited consecutively. They were treated with standardized LNF and prospectively followed up for 2 months. Proper diet guidance and/or pharmacologic therapy were given during these 2 months. GERD Health-Related Quality of Life (GERD-HRQL), DGE symptoms, and DGE status were evaluated preoperatively and postoperatively. RESULTS Fifty-one patients underwent LNF and completed a 2-month follow-up. LNF succeeded in all patients. Prior to LNF, no DGE was identified. At the 1-month follow-up, LNF led to a significant reduction in the GERD-HRQL total score but a significantly increased DGE score. Endoscopically, DGE was identified in forty-seven (n = 47, 92.2%) patients. At the 2-month follow-up, the GERD-HRQL scores continued to show decreases compared to the 1 month. The DGE score returned to the baseline value. Endoscopically, no DGE was identified in any patients (n = 0, 0.0%). CONCLUSIONS Transient DGE is a very common one-month post-LNF but can recover quickly in the second month following LNF.
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Affiliation(s)
- Suyu He
- The Fourth Department of the Digestive Disease Center, Suining Central Hospital, Sichuan, 629000, China.
| | - Yingdong Jia
- The First Department of the Digestive Disease Center, Suining Central Hospital, Sichuan, China
| | - Fei Xu
- The Fourth Department of the Digestive Disease Center, Suining Central Hospital, Sichuan, 629000, China
| | - Qianlong Li
- The Fourth Department of the Digestive Disease Center, Suining Central Hospital, Sichuan, 629000, China
| | - Xin Xiong
- The Fourth Department of the Digestive Disease Center, Suining Central Hospital, Sichuan, 629000, China
| | - Hui Wang
- The Fourth Department of the Digestive Disease Center, Suining Central Hospital, Sichuan, 629000, China
| | - Xiaojuan Jing
- The Endoscopy Center, Suining Central Hospital, Sichuan, China
| | - Xuejun Yang
- The First Department of the Digestive Disease Center, Suining Central Hospital, Sichuan, China
| | - Lianfen He
- The Fourth Department of the Digestive Disease Center, Suining Central Hospital, Sichuan, 629000, China
| | - Hanmei Wang
- The Fourth Department of the Digestive Disease Center, Suining Central Hospital, Sichuan, 629000, China
| | - Xin Tao
- The Nutrition Department, Suining Central Hospital, Sichuan, China
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Liu DS, Bright T, Thompson SK, Irvine T, Watson DI, Aly A. Patients with Delayed Gastric Emptying Following Laparoscopic Repair of Large Hiatus Hernias Regain Long-Term Quality of Life. J Gastrointest Surg 2020; 24:2654-2657. [PMID: 32671804 DOI: 10.1007/s11605-020-04733-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Accepted: 06/30/2020] [Indexed: 01/31/2023]
Affiliation(s)
- David S Liu
- Department of Surgery, Austin Hospital, Heidelberg, Victoria, 3084, Australia. .,Oesophagogastric Unit, Flinders Medical Centre, Flinders Drive, Bedford Park, South Australia, 5042, Australia.
| | - Tim Bright
- Oesophagogastric Unit, Flinders Medical Centre, Flinders Drive, Bedford Park, South Australia, 5042, Australia.,Flinders University Discipline of Surgery, Flinders Medical Centre, Bedford Park, South Australia, 5042, Australia
| | - Sarah K Thompson
- Oesophagogastric Unit, Flinders Medical Centre, Flinders Drive, Bedford Park, South Australia, 5042, Australia.,Flinders University Discipline of Surgery, Flinders Medical Centre, Bedford Park, South Australia, 5042, Australia
| | - Tanya Irvine
- Flinders University Discipline of Surgery, Flinders Medical Centre, Bedford Park, South Australia, 5042, Australia
| | - David I Watson
- Oesophagogastric Unit, Flinders Medical Centre, Flinders Drive, Bedford Park, South Australia, 5042, Australia.,Flinders University Discipline of Surgery, Flinders Medical Centre, Bedford Park, South Australia, 5042, Australia
| | - Ahmad Aly
- Department of Surgery, Austin Hospital, Heidelberg, Victoria, 3084, Australia.,University of Melbourne Department of Surgery, Austin Hospital, Heidelberg, Victoria, 3084, Australia
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