Secondary Achalasia and Other Esophageal Motility Disorders After Laparoscopic Nissen Fundoplication for Gastroesophageal Reflux Disease
- 1 December 2007
- journal article
- Published by American Roentgen Ray Society in American Journal of Roentgenology
- Vol. 189 (6), 1464-1468
- https://doi.org/10.2214/ajr.07.2582
Abstract
OBJECTIVE. The purpose of our investigation was to determine the frequency of secondary achalasia and other esophageal motility disorders revealed on barium studies after laparoscopic Nissen fundoplication and to present the clinical and radiographic findings in these patients. CONCLUSION. Esophageal dysmotility was found in nine (7%) of 138 patients after laparoscopic Nissen fundoplication, including secondary achalasia in three (33%), diffuse esophageal spasm (DES) in two (22%), and a nonspecific esophageal motility disorder in four (44%). Our findings suggest that patients who undergo laparoscopic Nissen fundoplication for gastroesophageal reflux disease are at risk for the development of esophageal motility disorders, including secondary achalasia and DES. Careful evaluation of esophageal motility on postoperative barium studies may help to identify esophageal dysmotility and to differentiate this finding from structural complications of the wrap as a cause of refractory symptoms in these patients.Keywords
This publication has 11 references indexed in Scilit:
- Gastro-oesophageal reflux diseaseThe Lancet, 2006
- Pseudoachalasia: A case series and analysis of the literatureScandinavian Journal of Gastroenterology, 2005
- Relationship Between Diffuse Esophageal Spasm and Lower Esophageal Sphincter Dysfunction on Barium Studies and Manometry in 14 PatientsAmerican Journal of Roentgenology, 2004
- Late Laparoscopic Reoperation of Failed Antireflux ProceduresSurgical Laparoscopy, Endoscopy & Percutaneous Techniques, 2004
- Complications and Results of Primary Minimally Invasive Antireflux Procedures: A Review of 10,735 Reported CasesJournal of the American College of Surgeons, 2001
- Esophageal pharmacology and treatment of primary motility disordersDiseases of the Esophagus, 1999
- Minimally invasive surgery for gastroesophageal reflux diseaseThe American Journal of Surgery, 1995
- Achalasia-like syndrome presenting after highly selective vagotomyDigestive Diseases and Sciences, 1995
- Esophageal motility: assessment with synchronous video tape fluoroscopy and manometry.Radiology, 1989
- The Radiographic Appearance of Complications Following Nissen FundoplicationRadiology, 1979