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Surgical Endoscopy

Published in:

01-02-2016

Feasibility, safety, and short-term efficacy of the laparoscopic Nissen–Hill hybrid repair

Authors: Ralph W. Aye, Alia P. Qureshi, Candice L. Wilshire, Alexander S. Farivar, Eric Vallières, Brian E. Louie

Published in: Surgical Endoscopy | Issue 2/2016

Abstract

Background

A novel antireflux procedure combining laparoscopic Nissen fundoplication and Hill repair components was tested in 50 patients with paraesophageal hernia (PEH) and/or Barrett’s esophagus (BE) because these two groups have been found to have a high rate of recurrence with conventional repairs.

Methods

Patients with symptomatic PEH and/or non-dysplastic BE underwent repair. Quality of life (QOL) metrics, manometry, EGD, and pH testing were administered pre- and postoperatively.

Results

Fifty patients underwent repair. There was no mortality and four major complications. At 13-month follow-up, there was one (2 %) clinical recurrence, and two (4 %) asymptomatic fundus herniations. Mean DeMeester scores improved from 57.2 to 7.7 (p < 0.0001). Control of preoperative symptoms was achieved in 90 % with 6 % resumption of antisecretory medication. All QOL metrics improved significantly.

Conclusions

The hybrid Nissen–Hill repair for patients with PEH and BE appears safe and clinically effective at short-term follow-up. It is hoped that the combined structural components may reduce the rate of recurrence compared to existing repairs.

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Title: Feasibility, safety, and short-term efficacy of the laparoscopic Nissen–Hill hybrid repair
Authors: Ralph W. Aye
Alia P. Qureshi
Candice L. Wilshire
Alexander S. Farivar
Eric Vallières
Brian E. Louie
Publication date: 01-02-2016
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 2/2016
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-015-4238-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Feasibility, safety, and short-term efficacy of the laparoscopic Nissen–Hill hybrid repair

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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