Top

Journal of Gastrointestinal Surgery

Published in:

01-09-2010 | How I do it

Laparoscopic Fundoplication with or Without Pyloroplasty in Patients with Gastroesophageal Reflux Disease After Lung Transplantation: How I Do It

Authors: Christopher S. Davis, W. Scott Jellish, P. Marco Fisichella

Published in: Journal of Gastrointestinal Surgery | Issue 9/2010

Abstract

Introduction

Several studies have confirmed that gastroesophageal reflux disease (GERD) in lung transplant patients is a risk factor for the development and progression of bronchiolitis obliterans syndrome (BOS), a form of rejection after lung transplantation. Moreover, numerous reports indicate that surgical correction of GERD may control the decline in lung function characteristic of BOS. Although laparoscopic fundoplication is an accepted treatment option for these patients with GERD, the surgical technique, which often includes a laparoscopic pyloroplasty, has not been standardized.

Methods

The purpose of this article is to describe a step-by-step approach to the laparoscopic treatment of GERD in lung transplant patients. We also address specific technical concerns encountered in the surgical management of this high-risk patient population; we provide data on the safety of this operation; and we illustrate the evidence-based rationale for each technical step of the procedure.

Christie JD, Edwards LB, Aurora P, Dobbels F, Kirk R, Rahmel A, Taylor DO, Kucheryavaya AY, Hertz MI. Registry for the International Society for Heart and Lung Transplantation: Twenty-fifth Official Adult Lung and Heart/Lung Transplantation Report. J Heart Lung Transplant 2008; 27(9):957–969.CrossRefPubMed

Brown RS, Rush SH, Rosen HR, Langnas AN, Klintmalm GB, Hanto DW, Punch JD. Liver and intestine transplantation. Am J Transplant 2004; 4(Suppl 9):81–92.CrossRefPubMed

Wynn JJ, Distant DA, Pirsch JD, Norman D, Gaber AO, Ashby VB, Leichtman AB. Kidney and pancreas transplantation. Am J Transplant 2004; 4(Suppl 9):72–80.CrossRefPubMed

Pierson RN 3rd, Barr ML, McCullough KP, Egan T, Garrity E, Jessup M, Murray S. Thoracic organ transplantation. Am J Transplant. 2004; 4(Suppl 9):93–105.CrossRefPubMed

Yousem SA, Berry GJ, Cagle PT, Chamberlain D, Husain AN, Hruban RH, Marchevsky A, Ohori NP, Ritter J, Stewart S, Tazelaar HD. Revision of the 1990 working formulation for the classification of pulmonary allograft rejection: lung rejection study group. J Heart Lung Transplant 1996; 15(1 Pt 1):1–15.PubMed

Grossman EJ, Shilling RA. Bronchiolitis obliterans in lung transplantation: the good, the bad, and the future. Transl Res 2009;153(4):153-165.CrossRefPubMed

Estenne M, Maurer JR, Boehler A, Egan JJ, Frost A, Hertz M, Mallory GB, Snell GI, Yousem S. Bronchiolitis obliterans syndrome 2001, an update of the diagnostic criteria. J Heart Lung Transplant 2002;21(3):297–310.CrossRefPubMed

Valentine VG, Robbins RC, Berry GJ, Patel HR, Reichenspurner H, Reitz BA, Theodore J. Actuarial survival of heart–lung and bilateral sequential lung transplant recipients with obliterative bronchiolitis. J Heart Lung Transplant 1996;15(4):371–383PubMed

Nicod, LP. Mechanisms of airway obliteration after lung transplantation. Proc Am Thorac Soc 2006;3(5):444–449.CrossRefPubMed

10.

Li B, Hartwig MG, Appel JZ, Bush EL, Balsara KR, Holzknecht ZE, Collins BH, Howell DN, Parker W, Lin SS, Davis RD. Chronic aspiration of gastric fluid induces the development of obliterative bronchiolitis in rat lung transplants. Am J Transplant 2008;8(8):1614–1621.CrossRefPubMed

11.

Cantu E 3rd, Appel JZ 3rd, Hartwig MG, Woreta H, Green C, Messier R, Palmer SM, Davis RD Jr. J. Maxwell Chamberlain Memorial Paper. Early fundoplication prevents chronic allograft dysfunction in patients with gastroesophageal reflux disease. Ann Thorac Surg 2004;78(4):1142–1151.

12.

Lau CL, Palmer SM, Howell DN, McMahon R, Hadjiliadis D, Gaca J, Pappas TN, Davis RD, Eubanks S. Laparoscopic antireflux surgery in the lung transplant population. Surg Endosc 2002;16(12):1674–1678.CrossRefPubMed

13.

Davis RD Jr, Lau CL, Eubanks S, Messier RH, Hadjiliadis D, Steele MP, Palmer SM. Improved lung allograft function after fundoplication in patients with gastroesophageal reflux disease undergoing lung transplantation. J Thorac Cardiovasc Surg 2003;125(3):533–542.CrossRefPubMed

14.

Burton PR, Button B, Brown W, Lee M, Roberts S, Hassen S, Bailey M, Smith A, Snell G. Medium-term outcome of fundoplication after lung transplantation. Dis Esophagus 2009;22(8):642–648.CrossRefPubMed

15.

Soper NJ, Dunnegan D. Anatomic fundoplication failure after laparoscopic antireflux surgery. Ann Surg 1999;229:669–676; discussion 76–77.

16.

Horgan S, Pohl D, Bogetti D, Eubanks T, Pellegrini C. Failed antireflux surgery: what have we learned from reoperations? Arch Surg 1999;134(8):809–815CrossRefPubMed

17.

Bell RC, Hanna P, Mills MR, Bowrey D. Patterns of success and failure with laparoscopic Toupet fundoplication. Surg Endosc 1999;13(12):1189–1194.CrossRefPubMed

18.

Wu JS, Dunnegan DL, Luttmann DR, Soper NJ. The influence of surgical technique on clinical outcome of laparoscopic Nissen fundoplication. Surg Endosc 1996;10(12):1164–1169; discussion 1169–1170.

19.

Fibbe C, Layer P, Keller J, Strate U, Emmermann A, Zornig C. Esophageal motility in reflux disease before and after fundoplication: a prospective, randomized, clinical, and manometric study. Gastroenterology 2001;121(1):5–14CrossRefPubMed

20.

Patti MG, Robinson T, Galvani C, Gorodner MV, Fisichella PM, Way LW. Total fundoplication is superior to partial fundoplication even when esophageal peristalsis is weak. J Am Coll Surg 2004;198(6):863–869; discussion 869–870.

21.

Novitsky YW, Wong J, Kercher KW, Litwin DE, Swanstrom LL, Heniford BT. Severely disordered esophageal peristalsis is not a contraindication to laparoscopic Nissen fundoplication. Surg Endosc 2007;21(6):950–954.CrossRefPubMed

22.

Gasper WJ, Sweet MP, Hoopes C, Leard LE, Kleinhenz ME, Hays SR, Golden JA, Patti MG. Antireflux surgery for patients with end-stage lung disease before and after lung transplantation. Surg Endosc 2008;22(2):495–500.CrossRefPubMed

23.

Hadjiliadis D, Davis RD, Steele MP, Messier RH, Lau CL, Eubanks SS, Palmer SM. Gastroesophageal reflux disease in lung transplant recipients. Clin Transplant 2003;17(4):363–368.CrossRefPubMed

24.

Young LR, Hadjiliadis D, Davis RD, Palmer SM. Lung transplantation exacerbates gastroesophageal reflux disease. Chest 2003;124(5):1689–1693.CrossRefPubMed

25.

D'Ovidio F, Mura M, Ridsdale R, Takahashi H, Waddell TK, Hutcheon M, Hadjiliadis D, Singer LG, Pierre A, Chaparro C, Gutierrez C, Miller L, Darling G, Liu M, Post M, Keshavjee S. The effect of reflux and bile acid aspiration on lung allograft and its surfactant and innate immunity molecules SP-A and SP-D. Am J Transplant 2006;6(8):1930–1938.CrossRefPubMed

26.

Au J, Hawkins T, Venables C, Morritt G, Scott CD, Gascoigne AD, Corris PA, Hilton CJ, Dark JH. Upper gastrointestinal dysmotility in heart–lung transplant recipients. Ann Thorac Surg 1993;55(1):94–97.CrossRefPubMed

27.

Berkowitz N, Schulman LL, McGregor C, Markowitz D. Gastroparesis after lung transplantation. Potential role in postoperative respiratory complications. Chest 1995;108(6):1602–1607.CrossRefPubMed

28.

Sodhi SS, Guo JP, Maurer AH, O'Brien G, Srinivasan R, Parkman HP. Gastroparesis after combined heart and lung transplantation. J Clin Gastroenterol 2002;34(1):34–39.CrossRefPubMed

Title: Laparoscopic Fundoplication with or Without Pyloroplasty in Patients with Gastroesophageal Reflux Disease After Lung Transplantation: How I Do It
Authors: Christopher S. Davis
W. Scott Jellish
P. Marco Fisichella
Publication date: 01-09-2010
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 9/2010
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-010-1233-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laparoscopic Fundoplication with or Without Pyloroplasty in Patients with Gastroesophageal Reflux Disease After Lung Transplantation: How I Do It

Abstract

Introduction

Methods

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Please log in to get access to this content

Other articles of this Issue 9/2010

Factors Predicting Failure Following High Bilio-enteric Anastomosis for Post-cholecystectomy Benign Biliary Strictures

Left-sided Acute Appendicitis with Situs Inversus Totalis: Review of 63 Published Cases and Report of Two Cases

Revising the Atlanta Classification of Acute Pancreatitis: Festina Lente

High-Resolution and Conventional Manometry in the Assessment of the Lower Esophageal Sphincter Length

A Bifid Neck of the Pancreas

Quo Vadis STARR? A Prospective Long-Term Follow-Up of Stapled Transanal Rectal Resection for Obstructed Defecation Syndrome