Tailored Fundoplication With Endoluminal Functional Lumen Imaging Probe Allows for Successful Minimally Invasive Hiatal Hernia Repair

Min P Kim, Leonora M Meisenbach, Edward Y Chan

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

Endoluminal functional lumen imaging probe (EndoFLIP) can provide real time information about characteristics of the gastroesophageal junction. We performed retrospective analysis of prospectively collected data on use of EndoFLIP during minimally invasive hiatal hernia repair to tailor the size of the crural closure and size of the fundoplication. We then determined whether it provides good reflux control without significant dysphagia. Forty patients underwent minimally invasive hiatal hernia repair with fundoplication. After fundoplication, the average minimal diameter (D min) decreased to 5.97±0.6 from 8.92±1.93 mm, and distensibility index decreased to 1.26±0.38 from 2.88±1.55 mm 2/mm Hg (P<0.0001). After 1 month, none of the patients had reflux or significant dysphagia. EndoFLIP can be used to tailor fundoplication with good functional outcome. Further studies are needed to understand the long-term consequences of tailored fundoplication.

Original languageEnglish (US)
Pages (from-to)178-182
Number of pages5
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume28
Issue number3
Early online dateApr 17 2018
DOIs
StatePublished - Jun 2018

Keywords

  • Journal Article
  • gastroesophageal reflux
  • hiatal hernia
  • minimally invasive hiatal hernia repair
  • Toupet fundoplication
  • Nissen fundoplication
  • endoluminal imaging probe
  • Prospective Studies
  • Humans
  • Middle Aged
  • Herniorrhaphy/methods
  • Male
  • Treatment Outcome
  • Esophagogastric Junction/surgery
  • Fundoplication/methods
  • Endoscopy, Gastrointestinal/methods
  • Hernia, Hiatal/surgery
  • Female
  • Retrospective Studies

ASJC Scopus subject areas

  • Surgery

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