Endoscopic Evaluation of Post-Fundoplication Anatomy.

Document Type

Article

Publication Date

8-24-2017

Publication Title

Current gastroenterology reports

Keywords

Endoscopy, Gastrointestinal; Fundoplication; Hernia, Hiatal; Humans; Postoperative Care; Reoperation; Reproducibility of Results; Treatment Failure

Abstract

PURPOSE OF REVIEW: We aim to review the endoscopic evaluation of post-fundoplication anatomy and its role in assessment of fundoplication outcomes and in pre-operative planning for reoperation in failed procedures.

RECENT FINDINGS: There is no universally accepted system for evaluating post-fundoplication anatomy endoscopically. However, multiple reports described the usefulness of post-operative endoscopy as a quality control measure and in the evaluation of complex cases such as repeat procedures and paraesophageal hernias (PEH). Endoscopic evaluation of post-fundoplication anatomy has an important role in assessing the outcomes of operative repair and pre-operative planning for failed fundoplications. Attempts have been made to characterize the appearance of the newly formed gastroesophageal valve after successful repairs and to standardize endoscopic reporting and classification of anatomic descriptions of failed fundoplications. However, there is no consensus. More studies are needed to evaluate the applicability and reproducibility of proposed endoscopic evaluation systems in order for such tools to become widely accepted.

Clinical Institute

Digestive Health

Department

Gastroenterology

Department

Surgery

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