IS TOTAL FUNDOPLICATION POSSIBLE IN PATIENTS WITH GASTROESOPHAGEAL REFLUX (GER) AND DEFECTIVE PERISTALSIS?
Thomas R Eubanks, P Omelanczuk, Santiago Horgan, C Richards, D Pohl, C A Pellegrini, Univ of Washington, Seattle, WA Partial fundoplication has traditionally been indicated for patients with GER who have defective peristalsis (DP), however recent studies suggest that it may be less effective than total fundoplication to control GER. We tested the hypothesis that a floppy total fundoplication could be performed in patients with DP without causing dysphagia. Methods: We performed total fundoplication in 12 consecutive patients with DP (distal amplitude Results: Mean follow up was 21 months (range 8 to 38 months). Symptom scores, contraction amplitude and acid exposure were as follows: Conclusion: Our study shows that both partial and total fundoplication were effective to control GER. Furthermore, both operations improved the amplitude of contractions in the esophagus. Patients with DP can be safely treated by either operation without fear of causing dysphagia. Heartburn Dysphagia Contra
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