International Society for Diseases of the Esophagus consensus on management of the failed fundoplication

Fundoplication is a durable, effective, and well-accepted treatment for gastroesophageal reflux disease. Nonetheless, troublesome postoperative symptoms do occasionally occur with management varying widely among centers. In an attempt to standardize definition and management of postfundoplication symptoms, a panel of international experts convened by the Guidelines Committee of the International Society for Diseases of the Esophagus devised a list of 33 statements across 5 domains through a Delphi approach, with at least 80% agreement to establish consensus. Eight statements were endorsed for the domain of Definitions, four for the domain of Investigations, nine for Dysphagia, nine for Heartburn, and four for Revisional surgery. This consensus defined as the treatment goal of fundoplication the resolution of symptoms rather than normalization of physiology or anatomy. Required investigations of all symptomatic postfundoplication patients were outlined. Further management was standardized by patients' symptomatology. The appropriateness of revisional fundoplication and the techniques thereof were described and the role of revisional surgery for therapies other than fundoplication were assessed. Fundoplication remains a frequently-performed operation, and this is the first international consensus on the management of various postfundoplication problems.

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Publication Details

Journal
Diseases of the Esophagus
Published
2024-10-23
DOI
https://doi.org/10.1093/dote/doae090
Citations
1
Primary Topic
Gastroesophageal reflux and treatments
Type
article
Field-Weighted Citation Impact
0.46
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article

International Society for Diseases of the Esophagus consensus on management of the failed fundoplication

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1 citations
Diseases of the Esophagus
Gastroesophageal reflux and treatments
0.46
article

International Society for Diseases of the Esophagus consensus on management of the failed fundoplication

Vinay Jahagirdar, Yhi Wong, Cesare Hassan, Giovanni Zaninotto, Sarah K. Thompson, Chelsea Lin, Ewen A. Griffiths, Nicholas Newman, Peter D. Siersema, B.P.L. Wijnhoven, Sumeet K. Mittal, Sergey Morozov, Geoffrey P. Kohn, Edward Lin, David Chen, Rippan N. Shukla, J. Elliott
article en
1 citations

Abstract

Fundoplication is a durable, effective, and well-accepted treatment for gastroesophageal reflux disease. Nonetheless, troublesome postoperative symptoms do occasionally occur with management varying widely among centers. In an attempt to standardize definition and management of postfundoplication symptoms, a panel of international experts convened by the Guidelines Committee of the International Society for Diseases of the Esophagus devised a list of 33 statements across 5 domains through a Delphi approach, with at least 80% agreement to establish consensus. Eight statements were endorsed for the domain of Definitions, four for the domain of Investigations, nine for Dysphagia, nine for Heartburn, and four for Revisional surgery. This consensus defined as the treatment goal of fundoplication the resolution of symptoms rather than normalization of physiology or anatomy. Required investigations of all symptomatic postfundoplication patients were outlined. Further management was standardized by patients' symptomatology. The appropriateness of revisional fundoplication and the techniques thereof were described and the role of revisional surgery for therapies other than fundoplication were assessed. Fundoplication remains a frequently-performed operation, and this is the first international consensus on the management of various postfundoplication problems.

Diseases of the EsophagusVol. 37(12)
University Hospitals Birmingham NHS Foundation Trust (GB), Humanitas University (IT), Radboud University Nijmegen (NL), Emory University (US), Flinders University (AU), Chinese University of Hong Kong (HK), Monash Medical Centre (AU), Erasmus MC (NL), Radboud University Medical Center (NL), Federal Research Centre of Nutrition and Biotechnology (RU), Norton University (KH), Eastern Health (AU), Russian Medical Academy of Continuous Professional Education (RU), NIHR Birmingham Biomedical Research Centre (GB), IRCCS Humanitas Research Hospital (IT), Imperial College London (GB), Monash University (AU), University of Birmingham (GB), University of Hong Kong (HK)
Partnerships for the goals
Openalex Percentile: Top 32%
Gastroesophageal reflux and treatments
0.46
DOIOpen Access PDFOpenAlex
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