Postoperative dysphagia in patients after Nissen fundoplication might be related to the technique used for the closure of the esophageal hiatus.
|More patients with posterior hiatal repair had further dysphagia-related surgery|
|American Journal of Surgery|
Dr Bas Wijnhoven and colleagues from Australia evaluated a total of 102 patients with gastroesophageal reflux.
The patients underwent laparoscopic Nissen fundoplication.
The researchers randomized 47 patients to either anterior or 55 to posterior repair of the diaphragmatic hiatus.
The researchers reported that clinical data at 5 years after surgery were available for 96% of patients enrolled in the trial.
The researchers found no significant difference between the 2 techniques for symptoms of dysphagia at the 5-year follow-up evaluation.
More patients who underwent posterior hiatal repair underwent further surgery for dysphagia-related symptoms.
The team found that better control of heartburn was achieved in patients in the anterior hiatal repair group.
Patients from both groups were equally satisfied with the overall outcome after surgery.
Dr Wijnhoven's team concluded, "At the 5-year follow-up evaluation, there was no significant difference in dysphagia between anterior closure and posterior hiatal repair."