Arielle M Lee, MD, Rebeca Dominguez, MD, Tokio Matsuzaki, MD, PhD, Kai Neki, MD, Ryan C Broderick, MD, Robert Cubas, MD, Joslin N Cheverie, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Karl-Hermann Fuchs, MD, David C Kunkel, MD, Santiago Horgan, MD. UC San Diego
Dysphagia following foregut surgery often presents a challenge in management. Often an interdisciplinary effort between gastroenterologists and the foregut surgeon is required. Initial assessment involves manometry and an upper GI swallow study. Less invasive treatments are trialed first, specifically EGD with pneumatic dilation. When this fails, patients often require revisional surgery. Here we present a case of a patient with persistent dysphagia following paraesophageal hernia repair with Nissen fundoplication, followed by revision with Nissen conversion to a Toupet fundoplication. We highlight the collaboration between the surgeon and the gastroenterologist with the intraoperative usage of endoflip, demonstrating the utility of this technology in assessing adequacy of the fundoplication takedown and myotomy.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94982
Program Number: V016
Presentation Session: Foregut II – Physiology
Presentation Type: Video