Medical College of Wisconsin
CTSICores SearchResearch InformaticsREDCap

Laparoscopic fundoplication with or without pyloroplasty in patients with gastroesophageal reflux disease after lung transplantation: how I do it. J Gastrointest Surg 2010 Sep;14(9):1434-41

Date

05/26/2010

Pubmed ID

20499201

Pubmed Central ID

PMC3066265

DOI

10.1007/s11605-010-1233-8

Scopus ID

2-s2.0-77955842388   12 Citations

Abstract

INTRODUCTION: Several studies have confirmed that gastroesophageal reflux disease (GERD) in lung transplant patients is a risk factor for the development and progression of bronchiolitis obliterans syndrome (BOS), a form of rejection after lung transplantation. Moreover, numerous reports indicate that surgical correction of GERD may control the decline in lung function characteristic of BOS. Although laparoscopic fundoplication is an accepted treatment option for these patients with GERD, the surgical technique, which often includes a laparoscopic pyloroplasty, has not been standardized.

METHODS: The purpose of this article is to describe a step-by-step approach to the laparoscopic treatment of GERD in lung transplant patients. We also address specific technical concerns encountered in the surgical management of this high-risk patient population; we provide data on the safety of this operation; and we illustrate the evidence-based rationale for each technical step of the procedure.

Author List

Davis CS, Jellish WS, Fisichella PM

Author

Christopher Stephen Davis MD, MPH Assistant Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Bronchiolitis Obliterans
Fundoplication
Gastroesophageal Reflux
Gastroplasty
Humans
Laparoscopy
Liver Transplantation
Pylorus
Risk Factors
Treatment Outcome
jenkins-FCD Prod-482 91ad8a360b6da540234915ea01ff80e38bfdb40a