Table 1.
Patients (n = 9) With Persistent Dysphagia (Moderate to Severe).
| No. | Age/Sex | Preop. Symptom* | Preop. LES relaxation | Procedure | Causes of Dysphagia | Re-do | Outcome/Follow-up in Months ‡ |
|---|---|---|---|---|---|---|---|
| 1 | 59F | HB/Reg | 92 | Nissen | Hiatal stenosis | Hiatus Incised plus Toupet | Excellent No dysphagia 2 months |
| 2 | 55F | HB/Reg | 99 | Nissen | Possibly anterior angulation of GEJ | Nissen | Good Mild dysphagia 8 months |
| 3 | 56F | HB/Cough | 88 | Nissen | Too tight fundoplication | Nissen | Excellent No dysphagia 4 months |
| 4 | 46M | HB/Reg | 100 | Nissen | Slipped Nissen with short esophagus, Peptic stricture | Collis-Belsey | Fair: recurrent reflux symptoms due to stricture formation and fundoplication disruption. Mild dysphagia 6 months |
| 5 | 57F | Dys/HB/Reg | 86 | Nissen | Slipped Nissen with short esophagus, Severe esophagitis | Collis-Nissen | Fair: recurrent reflux symptoms. All investigations were normal. Mild dysphagia 38 months |
| 6 | 76F | Dys | 100 | Nissen | GEJ cancer | Toupet | Death 6 months postoperative |
| 7 | 51M | Dys/HB | 100 | Nissen | Nutcracker esophagus | † | Fair: chest pain controlled with Ca blocker. Moderate dysphagia |
| 8 | 43F | Dys/HB/Reg | 100 | Nissen | Nutcracker esophagus | † | Fair: reflux symptoms Moderate dysphagia |
| 9 | 36M | HB/Reg/Chest pain | 98 | Nissen | Unknown | † | Good Moderate dysphagia |
*
Dys: Dysphagia, HB: Heartburn, Reg: Regurgitation Preop. = Preoperative, LES=Lower esophageal sphincter
†
= No surgery
‡
= Post re-do
Excellent: no symptoms
Good: occasional symptoms not necessitating medication
Fair: symptoms controlled with medication
Poor: worsening symptoms requiring frequent dilations or reoperation.