Nissen Fundoplication Without Crural Repair

The Short Esophagus: Pathophysiology, Incidence, Presentation, and Treatment in the Era of Laparoscopic Antireflux Surgery

“…Good control of reflux has been documented with this approach. [32][33][34] Along with reflux control, however, there are often substantial complications associated with this iatrogenically created herniated wrap, including epigastric or chest pain, dysphagia, and even strangulation, perforation, ulceration, or …”

Complications of surgery for gastroesophageal reflux

“…Experimental and clinical evidence indicates that a full 360 ~ wrap of stomach around the esophagus that is left in the chest restores a high pressure zone in the distal esophagus and serves as an effective barrier to reflux [6,16]. This repair leaves a hiatal hernia, however, and some complications can occur in the gastric pouch left above the diaphragm.…”

“…Any patient undergoing surgical correction for reflux and its complications should be warned about the possibilities of postoperative dysphagia, the "gas bloat syndrome," postoperative gastric distention, unplanned vagotomy, failure to relieve symptoms, possible persistence or recurrence of reflux or hiatal hernia, possible perforation of the esophagu~ or stomach, postoperative bleeding, unplanned splenectomy, and the persistence of stricture if this is present. This report covers complications and side effects observed following the antireflux repairs introduced by Belsey [1], Nissen [2], or Hill [3], the gastroplasty procedures for stricture described by Thal [4], and by Collis 15], a full Nissen fundoplica- tion left in the chest [6], and resection of a ~tricture with intestinal interposition [7].…”