Bookmarks
KEY FACTS
Terminology
Imaging
Diagnostic Checklist
TERMINOLOGY
Abbreviations
- Fundoplication (FDP)
Definitions
- Complications of antireflux surgery for management of gastroesophageal reflux disease (GERD)
- Nissen FDP: Complete (360°) FDP
- Approach: Laparoscopic or open FDP
- Gastric fundus wrapped 360° around intraabdominal esophagus to create antireflux valve
- Concomitant hiatal hernia (HH) is reduced; diaphragmatic esophageal hiatus sutured
- Toupet FDP: Partial (270°) FDP
- Posterior hemivalve created
- Belsey Mark IV repair: Open surgical; 240° FDP wrap around left lateral aspect of distal esophagus
- Fundus sutured to intraabdominal esophagus; acute esophagogastric junction angle (angle of His)
- Can also be performed via minimally invasive techniques
IMAGING
General Features
Radiographic Findings
CT Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
- Hesse UJ et al: Intraoperative conversion and complications in robotic assisted primary and redo gastric bypass surgery. J Robot Surg. ePub, 2021
- Lall C et al: What the radiologist needs to know about gastrointestinal endoscopic surgical procedures. Abdom Radiol (NY). 43(6):1482-93, 2018
- Zarzour JG et al: Anti-reflux procedures: complications, radiologic findings, and surgical and gastroenterologic perspectives. Abdom Radiol (NY). 43(6):1308-18, 2018
- Carbo AI et al: Imaging findings of successful and failed fundoplication. Radiographics. 34(7):1873-84, 2014
- Schijven MP et al: Laparoscopic surgery for gastro-esophageal acid reflux disease. Best Pract Res Clin Gastroenterol. 28(1):97-109, 2014
- Jobe BA et al: Preoperative diagnostic workup before antireflux surgery: an evidence and experience-based consensus of the Esophageal Diagnostic Advisory Panel. J Am Coll Surg. 217(4):586-97, 2013
- LeBedis CA et al: The diagnostic and therapeutic role of imaging in postoperative complications of esophageal surgery. Semin Ultrasound CT MR. 34(4):288-98, 2013
- Epstein D et al: Laparoscopic fundoplication compared with medical management for gastro-oesophageal reflux disease: cost effectiveness study. BMJ. 339:b2576, 2009
- Furga P et al: [The outcomes of treatment of gastroesophageal reflux disease with laparoscopic "floppy" fundoplication.] Pol Merkur Lekarski. 26(155):395-8, 2009
- Hamdy E et al: Response of atypical symptoms of GERD to antireflux surgery. Hepatogastroenterology. 56(90):403-6, 2009
- Baker ME et al: Gastroesophageal reflux disease: integrating the barium esophagram before and after antireflux surgery. Radiology. 243(2):329-39, 2007
- Graziano K et al: Recurrence after laparoscopic and open Nissen fundoplication: a comparison of the mechanisms of failure. Surg Endosc. 17(5):704-7, 2003
- Fernando HC et al: Outcomes of laparoscopic Toupet compared to laparoscopic Nissen fundoplication. Surg Endosc. 16(6):905-8, 2002
- Hainaux B et al: Intrathoracic migration of the wrap after laparoscopic Nissen fundoplication: radiologic evaluation. AJR Am J Roentgenol. 178(4):859-62, 2002
- Pavlidis TE: Laparoscopic Nissen fundoplication. Minerva Chir. 56(4):421-6, 2001
- Waring JP: Postfundoplication complications. Prevention and management. Gastroenterol Clin North Am. 28(4):1007-19, viii-ix, 1999
Related Anatomy
Loading...
Related Differential Diagnoses
Loading...
References
Tables
Tables
KEY FACTS
Terminology
Imaging
Diagnostic Checklist
TERMINOLOGY
Abbreviations
- Fundoplication (FDP)
Definitions
- Complications of antireflux surgery for management of gastroesophageal reflux disease (GERD)
- Nissen FDP: Complete (360°) FDP
- Approach: Laparoscopic or open FDP
- Gastric fundus wrapped 360° around intraabdominal esophagus to create antireflux valve
- Concomitant hiatal hernia (HH) is reduced; diaphragmatic esophageal hiatus sutured
- Toupet FDP: Partial (270°) FDP
- Posterior hemivalve created
- Belsey Mark IV repair: Open surgical; 240° FDP wrap around left lateral aspect of distal esophagus
- Fundus sutured to intraabdominal esophagus; acute esophagogastric junction angle (angle of His)
- Can also be performed via minimally invasive techniques
IMAGING
General Features
Radiographic Findings
CT Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
- Hesse UJ et al: Intraoperative conversion and complications in robotic assisted primary and redo gastric bypass surgery. J Robot Surg. ePub, 2021
- Lall C et al: What the radiologist needs to know about gastrointestinal endoscopic surgical procedures. Abdom Radiol (NY). 43(6):1482-93, 2018
- Zarzour JG et al: Anti-reflux procedures: complications, radiologic findings, and surgical and gastroenterologic perspectives. Abdom Radiol (NY). 43(6):1308-18, 2018
- Carbo AI et al: Imaging findings of successful and failed fundoplication. Radiographics. 34(7):1873-84, 2014
- Schijven MP et al: Laparoscopic surgery for gastro-esophageal acid reflux disease. Best Pract Res Clin Gastroenterol. 28(1):97-109, 2014
- Jobe BA et al: Preoperative diagnostic workup before antireflux surgery: an evidence and experience-based consensus of the Esophageal Diagnostic Advisory Panel. J Am Coll Surg. 217(4):586-97, 2013
- LeBedis CA et al: The diagnostic and therapeutic role of imaging in postoperative complications of esophageal surgery. Semin Ultrasound CT MR. 34(4):288-98, 2013
- Epstein D et al: Laparoscopic fundoplication compared with medical management for gastro-oesophageal reflux disease: cost effectiveness study. BMJ. 339:b2576, 2009
- Furga P et al: [The outcomes of treatment of gastroesophageal reflux disease with laparoscopic "floppy" fundoplication.] Pol Merkur Lekarski. 26(155):395-8, 2009
- Hamdy E et al: Response of atypical symptoms of GERD to antireflux surgery. Hepatogastroenterology. 56(90):403-6, 2009
- Baker ME et al: Gastroesophageal reflux disease: integrating the barium esophagram before and after antireflux surgery. Radiology. 243(2):329-39, 2007
- Graziano K et al: Recurrence after laparoscopic and open Nissen fundoplication: a comparison of the mechanisms of failure. Surg Endosc. 17(5):704-7, 2003
- Fernando HC et al: Outcomes of laparoscopic Toupet compared to laparoscopic Nissen fundoplication. Surg Endosc. 16(6):905-8, 2002
- Hainaux B et al: Intrathoracic migration of the wrap after laparoscopic Nissen fundoplication: radiologic evaluation. AJR Am J Roentgenol. 178(4):859-62, 2002
- Pavlidis TE: Laparoscopic Nissen fundoplication. Minerva Chir. 56(4):421-6, 2001
- Waring JP: Postfundoplication complications. Prevention and management. Gastroenterol Clin North Am. 28(4):1007-19, viii-ix, 1999
