Efficacy and Safety of Dor Fundoplication in Patients with Severe Gastroparesis and Refractory Gastroesophageal Reflux Disease
Texas Tech University Health Sciences Center, El Paso, TX 79905, USA
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Gastrointest. Disord. 2020, 2(2), 134-139; https://doi.org/10.3390/gidisord2020013
Received: 5 March 2020 / Revised: 20 April 2020 / Accepted: 28 April 2020 / Published: 7 May 2020
(This article belongs to the Special Issue Gastroparesis)
Poor quality of life is a major problem in patients with gastroesophageal reflux disease (GERD). Delayed gastric emptying in patients with severe gastroparesis (GP) worsens GERD symptoms and particularly nocturnal heartburn and regurgitation refractory to medical therapy. With limited therapeutic options, a Nissen fundoplication may be considered but concerns for this surgery are inability to wretch and vomit post-op, increasing the risk of wrap rupture. Dor fundoplication, a 180–200 degree anterior wrap, may improve sphincter competency and provide symptom relieve while minimizing these concerns and avoiding vagal nerve damage.
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Keywords:
Dor fundoplication; GERD; gastroparesis
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MDPI and ACS Style
Ishak, A.; Al-Bayati, I.; Davis, B.; Sarosiek, I.; McCallum, R.W. Efficacy and Safety of Dor Fundoplication in Patients with Severe Gastroparesis and Refractory Gastroesophageal Reflux Disease. Gastrointest. Disord. 2020, 2, 134-139.
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