Abstract | BACKGROUND: METHODS: Nine laryngectomy patients who use tracheoesophageal speech underwent laparoscopic fundoplication for documented reflux. Preoperative and postoperative symptoms were recorded. Quality of speech was documented before and after fundoplication. RESULTS: Although 88% of patients had resolution of GERD symptoms, all developed bloating and hyperflatulence. There was no difference in quality of esophageal speech after laparoscopic fundoplication. CONCLUSIONS:
Fundoplication in laryngectomy patients that use tracheoesophageal speech eliminates symptoms of gastroesophageal reflux and resolves regurgitation associated prosthesis erosion. Although nearly all patients are satisfied with outcome, there is a high incidence of postfundoplication bloating and hyperflatulence that may be life limiting. Poor quality tracheoesophageal speech should not be used as an indication for antireflux surgery.
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Authors | Blair A Jobe, Eben Rosenthal, Tracy T Wiesberg, James I Cohen, John S Domreis, Clifford W Deveney, Brett Sheppard |
Journal | American journal of surgery
(Am J Surg)
Vol. 183
Issue 5
Pg. 539-43
(May 2002)
ISSN: 0002-9610 [Print] United States |
PMID | 12034388
(Publication Type: Journal Article)
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Topics |
- Aged
- Carcinoma, Squamous Cell
(complications, surgery)
- Female
- Flatulence
(etiology)
- Fundoplication
(adverse effects)
- Gastroesophageal Reflux
(complications, surgery)
- Humans
- Intestines
(physiopathology)
- Laparoscopy
(adverse effects)
- Laryngectomy
(adverse effects)
- Male
- Middle Aged
- Otorhinolaryngologic Neoplasms
(complications, surgery)
- Patient Satisfaction
- Quality of Life
- Retrospective Studies
- Speech, Esophageal
- Treatment Outcome
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