Nissan to partial Fundo for Refractory Dysphagia

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Laparoscopic Conversion From Nissen to Partial Fundoplication for Refractory

Dysphagiahttp://ats.ctsnetjournals.org/cgi/content/abstract/91/3/932?ct=ct

H. McKellar, MD,

Mark S. , MD,

D. Cassivi, MD,

Francis C. Nichols, III, MD,

K. Shen, MD,

Dennis A. Wigle, MD, PhD,

Claude Deschamps, MD*

Division of General Thoracic Surgery, Mayo Clinic, Rochester, Minnesota

Accepted for publication July 30, 2010.

* Address correspondence to Dr

Deschamps, Mayo Clinic, Division of General Thoracic Surgery, 200 First

St SW, Rochester, MN 55905 (Email: deschamps.claude@...).

Laparoscopic Nissen fundoplication is effective for treating gastroesophageal

reflux and is usually well tolerated. Some patients, however, experience

postoperative dysphagia refractory to conservative measures. We report our

experience and operative technique for laparoscopic conversion of previous

laparoscopic Nissen fundoplication to partial fundoplication to relieve

dysphagia. We retrospectively reviewed the medical records of 6 patients with

refractory dysphagia after laparoscopic Nissen fundoplication who underwent

laparoscopic conversion to partial fundoplication using a laparoscopic linear

stapler. There were no perioperative deaths and no fundoplication-related

complications. In short-term follow-up, all patients reported improvement of

dysphagia symptoms.

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