Laparoscopic Nissen fundoplication after failure of Enteryx injection into the lower esophageal sphincter.

Abstract

BACKGROUND:

We investigated the feasibility, safety, and efficacy of laparoscopic antireflux surgery (LARS) after failure of Enteryx injection in the lower esophageal sphincter for the treatment of gastroesophageal reflux disease (GERD).

METHODS:

Four patients underwent LARS after failure of Enteryx injection. Particular care was taken during the procedure to identify unusual material or fibrosis.

RESULTS:

All patients underwent LARS successfully. In three patients, tight adhesions with fibrous tissues and black foreign material were observed around the esophagus. No complications occurred during the procedures. The postoperative period was uneventful and functional results were excellent.

CONCLUSION:

LARS following Enteryx injection is feasible. Careful dissection is mandatory to avoid operative complications. Both techniques may be considered as options for treating GERD.

• Authors: I El Nakadi, J Closset, V De Moor, E Coppens, M Zalcman, J Devière, M Gelin
• Journal: Surgical endoscopy (Surg Endosc) Vol. 18 Issue 5 Pg. 818-20 (May 2004) ISSN: 1432-2218 [Electronic] Germany
• PMID: 15216865 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Polyvinyls
• ethylene-vinyl alcohol copolymer

Topics

• Adult
• Aged
• Esophagogastric Junction (pathology)
• Female
• Fundoplication (methods)
• Gastroesophageal Reflux (therapy)
• Humans
• Injections, Intralesional
• Laparoscopy
• Male
• Middle Aged
• Polyvinyls (administration & dosage)