Post Fundoplication Endoscopic Examination.

Video Endoscopic Sequence 1 of 5.

Post Fundoplication Endoscopic Examination.

Retroflexed view

Statust Post Laparoscopic Nissen fundoplication. The images and the videos here display the endoscopic statust post Laparoscopic Nissen fundoplication.

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Statust Post Laparoscopic Nissen fundoplication.

Video Endoscopic Sequence 2 of 5.

Statust Post Laparoscopic Nissen fundoplication.

Gastroesophageal reflux disease (GERD) is a disorder that affects the lower esophageal sphincter or valve separating stomach from esophagus. This valve normally prevents food from regurgitation back into the esophagus. Patients with GERD have a weakened sphincter that allows for stomach acid to flow back into the esophagus. The esophageallining becomes inflamed and patients experience heartburn,chest pain, and even a sour taste in their mouth. If left untreated, GERD can lead to ulcer formation, bleeding, and scarring. After a 360 Nissen fundoplication, with 2 cm wrap completely encircling the esophagogastric junction. Note that the gastric folds of the grap are parallel to the diaphagm.

 

Statust Post Laparoscopic Nissen fundoplication.

Video Endoscopic Sequence 3 of 5.

Statust Post Laparoscopic Nissen fundoplication.

Laparoscopic antireflux surgery is a minimally invasive approach to correct GERD. Most commonly a laparoscopic Nissen fundoplication is performed. In this procedure the weakened lower esophageal sphincter is supported by wrapping the top portion of the stomach around the lower esophagus as a bolster. At the same time if there is a hiatal hernia or part of the stomach residing in the chest cavity, this hernia will be returned to the abdomen and the abdominal opening secured.

 

Fundoplication Endoscopic Examination

Video Endoscopic Sequence 4 of 5.

Retroflexed views of the esophagogastric junction.

Surgical management of GERD is safe and durable according to several large series, with 85% to 95 % symptom control and loSurgical management of GERD is safe and durable according to several large series, with 85% to 95 % symptom control and low morbidity and mortality. Laparoscopic antireflux surgery is becoming a widely practiced treatment for complicated GERD. The endoscopist therefore needs to become familiar with the endoscopic appearance of the various fundoplications, as well as the endoscopic assessment of post fundoplication syndromes.

 

Fundoplication Endoscopic Examination

Video Endoscopic Sequence 5 of 5.

Cardias view from the esophagus.

 

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