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Surgical Endoscopy
Published in: Surgical Endoscopy 11/2009

01-11-2009

Omission of the calibration bougie in laparoscopic repair of paraesophageal hernia

Authors: Ada Ng, David Yong, Eric Hazebroek, Hayley Berry, Richard Radajewski, Steven Leibman, Garett S. Smith

Published in: Surgical Endoscopy | Issue 11/2009

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Abstract

Background

The use of an intraesophageal bougie has traditionally been an integral step in the repair of large hiatal hernia and fundoplication. Typically, the bougie is passed by the anesthesiologist or a member of the surgical team into the stomach to enable calibration of the hiatal repair and fundoplication. An inherent risk of esophagogastric perforation is associated with this maneuver. The authors report their experience comparing symptomatic outcomes for patients who have had a large hiatus hernia repaired with and without the use of a calibration bougie.

Methods

Data were collected prospectively for 28 consecutive patients undergoing elective laparoscopic repair of a paraesophageal hernia. A bougie was used in the first 14 patients. In the next 14 patients, the use of a bougie was omitted. Symptom and quality-of-life data were collected preoperatively and 6 months postoperatively for all the patients.

Results

All the patients were satisfied with their symptomatic outcome, as reflected in their postoperative quality-of-life scores. No patients required dilation for postoperative dysphagia. There was no difference in postoperative dysphagia scores between the two groups.

Conclusion

The current series of consecutively performed laparoscopic paraesophageal hernia repairs showed no benefit in terms of symptomatic outcome associated with the use of an intraesophageal bougie. Currently, the authors’ standard practice is to perform laparoscopic repair of the paraesophageal hernia and fundoplication without the aid of a calibration bougie.
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Metadata
Title
Omission of the calibration bougie in laparoscopic repair of paraesophageal hernia
Authors
Ada Ng
David Yong
Eric Hazebroek
Hayley Berry
Richard Radajewski
Steven Leibman
Garett S. Smith
Publication date
01-11-2009
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 11/2009
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-009-0426-2

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