Therapeutic effect of Dor gastric fundus folding surgery on gastroesophageal reflux disease after sleeve gastrectomy
10.3760/cma.j.cn113855-20240427-00312
- VernacularTitle:Dor胃底折叠术治疗袖状胃切除术后并发胃食管反流病的疗效分析
- Author:
Enmin HUANG
1
;
Zehui HOU
;
Ning MA
;
Shuang CHEN
;
Taicheng ZHOU
Author Information
1. 中山大学附属第六医院疝和腹壁外科，广州 510655
- Keywords:
Gastroesophageal feflux;
Fundoplication;
Gastrectomy;
Postoperative complications
- From:
Chinese Journal of General Surgery
2024;39(6):439-443
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the efficacy and safety of laparoscopic Dor fundoplication in treating gastroesophageal reflux disease (GERD) after laparoscopic sleeve gastrectomy (LSG).Methods:A retrospective analysis was conducted on 11 patients undergoing laparoscopic Dor fundoplication between Oct 2021 and Oct 2023. These patients had previously undergone LSG due to obesity and related metabolic diseases and developed GERD postoperatively. The GerdQ scale scores, results of endoscopy, upper gastrointestinal radiography, and gastric window color Doppler ultrasonography were analyzed.Result:Surgeries were successfully performed in these 11 patients. After esophageal hiatus repair, 10 patients underwent reinforcement of the diaphragmatic crus using biological or synthetic anti-adhesion patches. The average operative time was (120±31) minutes, and the average postoperative hospital stay was (9±3) days. Follow-up at 6 months revealed complete resolution of GERD symptoms in 10 patients. Intraoperatively one patient sustained injuries to the left hepatic vein and esophagus. Postoperative complications included one case of intestinal obstruction and one case of dysphagia, one patient failed to get experience improvement in GERD symptoms. All complications were managed successfully except for one needing re-admission for interventional esophageal balloon dilation due to dysphagia.Conclusion:Laparoscopic Dor fundoplication serves as a safe and effective revision surgery for GERD following LSG.
