Laparoscopic fundoplication (LF) as a treatment option for GERD involves 3 techniques based on the wrap extension: Nissen (total, 360\u00b0), Toupet (posterior, 270\u00b0), and Dor after Heller intervention (anterior, 170\u00b0). During these procedures, a valve is created by wrapping the fundus around the esophagogastric junction and suturing it to achieve antireflux effects. LF can lead to persistent dysphagia in 5% to 10% of cases. A modified peroral endoscopic myotomy (POEM) technique that includes an incision in the valve is a new therapeutic option.<\/p>\n\n\n\n
In this retrospective study, conducted on patients experiencing refractory dysphagia after LF, patients underwent POEM and a complete wrap incision. Patient assessment involved Eckardt and dysphagia scores. The study included 26 patients with a mean age of 57.3 \u00b1 15.6 years and a mean follow-up of 25.3 \u00b1 17.6 months. <\/p>\n\n\n\n
The technical success rate was 96%, and clinical success was achieved in 84.6% of cases. Among the cases that failed, one patient underwent a Lewis-Santy procedure, two required dilations, and one was lost to follow-up. Three late recurrences were managed endoscopically. About 19% of patients experienced GERD recurrence, which mostly improved with proton pump inhibitors.<\/p>\n","protected":false},"excerpt":{"rendered":"
Laparoscopic fundoplication (LF) as a treatment option for GERD involves 3 techniques based on the wrap extension: Nissen (total, 360\u00b0), Toupet (posterior, 270\u00b0), and Dor after Heller intervention (anterior, 170\u00b0). During these procedures, a valve is created by wrapping the fundus around the esophagogastric junction and suturing it to achieve antireflux effects. LF can lead … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1791],"tags":[3835,2098,2070,3834,237],"class_list":["post-14500","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-esophagus","tag-eroral-endoscopic-myotomy","tag-esophagus-2","tag-gerd-2","tag-lf","tag-poem"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/14500","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=14500"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=14500"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=14500"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}