Secondary achalasia and other esophageal motility disorders after laparoscopic Nissen fundoplication for gastroesophageal reflux disease

Natasha E. Wehrli, Marc S. Levine, Stephen E. Rubesin, David A. Katzka, Igor Laufer

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

OBJECTIVE. The purpose of our investigation was to determine the frequency of secondary achalasia and other esophageal motility disorders revealed on barium studies after laparoscopic Nissen fundoplication and to present the clinical and radiographic findings in these patients. CONCLUSION. Esophageal dysmotility was found in nine (7%) of 138 patients after laparoscopic Nissen fundoplication, including secondary achalasia in three (33%), diffuse esophageal spasm (DES) in two (22%), and a nonspecific esophageal motility disorder in four (44%). Our findings suggest that patients who undergo laparoscopic Nissen fundoplication for gastroesophageal reflux disease are at risk for the development of esophageal motility disorders, including secondary achalasia and DES. Careful evaluation of esophageal motility on postoperative barium studies may help to identify esophageal dysmotility and to differentiate this finding from structural complications of the wrap as a cause of refractory symptoms in these patients.

Original languageEnglish (US)
Pages (from-to)1464-1468
Number of pages5
JournalAmerican Journal of Roentgenology
Volume189
Issue number6
DOIs
StatePublished - Dec 1 2007

Keywords

  • Achalasia
  • Barium studies
  • Dysphagia
  • Esophageal motility disorders
  • Gastroesophageal reflux disease
  • Nissen fundoplication
  • Surgical complications

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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