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Search for fundoplication in all Journal Watch editions
Physician-authored summaries on the latest research on fundoplication, editorials on fundoplication, and perspectives on fundoplication - drawn from the top medical journals.
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You searched for: fundoplication
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Fundoplication Doesn’t Reduce Esophageal Cancer Risk
- June 14, 2005
- David A. Johnson, MD
- Gastroenterology
Surgery was no better than medical management for GERD patients.- Reviewing:
- Tran T et al., Am J Gastroenterol 2005 May; 100:1002-8.
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Fundoplication vs. Optimal Medical Management for Chronic GERD
In the long run, patients with gastroesophageal reflux disease experienced greater improvements with surgery.- Reviewing:
- Grant AM et al., BMJ 2013 Apr 18; 346:f1908.
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Which Treatment Is Better for GERD? Free
- January 29, 2010
- David A. Johnson, MD
- Gastroenterology
Compared with medical therapy, surgery was associated with higher rates of continuous remission, but the results are questionable.- Reviewing:
- Lundell L et al., Clin Gastroenterol Hepatol 2009 Dec; 7:1292.
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Surgical Fundoplication for Suspected Laryngopharyngeal Reflux
- May 30, 2006
- David A. Johnson, MD
- Gastroenterology
Antireflux surgery has little, if any, benefit for patients with suspected GERD who do not respond to aggressive PPI therapy.- Reviewing:
- Swoger J et al., Clin Gastroenterol Hepatol 2006 Apr; 4:433-41. Spechler SJ., Clin Gastroenterol Hepatol 2006 Apr; 4:431-2.
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Laparoscopic Fundoplication for Chronic GERD
- January 27, 2009
- Paul S. Mueller, MD, MPH, FACP
- General Medicine
At 1 year, fundoplication resulted in less need for reflux medications and better quality of life than did medical management, but its cost-effectiveness is still to be determined.- Reviewing:
- Grant AM et al., BMJ 2008 Dec 15; 337:a2664.
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Laparoscopic Nissen Fundoplication: Let the Buyer Beware!
- September 9, 2003
- David A. Johnson, MD
- Gastroenterology
A battle persists about the best treatment approach for gastroesophageal reflux disease (GERD): Surgeons argue that antireflux surgery is the most pragmatic and cost-effective approach, . . .- Reviewing:
- Dire CA et al., Clin Gastroenterol Hepatol 2003 Jul; ; 1::328-32.
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Laparoscopic Fundoplication for GERD: An Unmet Promise?
- February 25, 2003
- David A. Johnson, MD
- Gastroenterology
High rates of postoperative symptoms and medication use were found after laparoscopic fundoplication in a U.S. community setting.- Reviewing:
- Vakil N et al., Am J Med 2003 Jan; 114:1-5.
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Dilation After Fundoplication Can Resolve Postoperative Dysphagia
- May 28, 2002
- David A. Johnson, MD
- Gastroenterology
To resolve postoperative dysphagia, dilation can be performed safely during the early postoperative period after fundoplication.- Reviewing:
- Malhi-Chowia N et al., Gastrointest Endosc 2002 Feb; 55:219-23.
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Endoscopy Is Better Than Barium Esophagram for Detecting Fundoplication Abnormalities
- November 7, 2001
- DA Johnson
- Gastroenterology
Since the advent of laparoscopic fundoplication, more patients are undergoing surgical treatment of symptomatic gastroesophageal reflux disease (GERD), but many develop postfundoplication symptoms. In this . . .- Reviewing:
- Jailwala J et al., Gastrointest Endosc 2001 Sep; 54:
351 356 .
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Open vs. Laparoscopic Antireflux Fundoplication
- August 15, 2001
- DA Johnson
- Gastroenterology
Laparoscopic fundoplication is associated with postoperative dysphagia more often than open fundoplication. In fact, severe dysphagia and food impaction have been reported after as many . . .- Reviewing:
- Luostarinen M et al., Scand J Gastroenterol 2001 Jun; 36:
565 571 .
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For GERD, Surgery Confers Greater Long-Term Improvements Than Drugs Free
- April 22, 2013
- Physician's First Watch
Surgery for gastroesophageal reflux disease is associated with improved patient-reported symptoms and quality of life at 5 years, compared with drug treatment, according to... -
Peroral Endoscopic Myotomy for Achalasia: Nice, but Necessary?
- March 22, 2013
- David A. Johnson, MD
- Gastroenterology
Although POEM resulted in positive short-term outcomes, long-term follow-up studies are needed to compare its effectiveness with pneumatic dilation and laparoscopic Heller myotomy.- Reviewing:
- Chiu PWY et al., Gastrointest Endosc 2013 Jan; 77:29.
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Esomeprazole vs. Surgery for Chronic GERD Free
- May 20, 2011
- David A. Johnson, MD
- Gastroenterology
At 5 years, remission rates were high for PPI-responsive patients receiving either treatment, although remission was slightly higher for esomeprazole than surgery.
CME Exam- Reviewing:
- Galmiche J-P et al., JAMA 2011 May 18; 305:1969.
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Antireflux Surgery vs. Esomeprazole for Treatment of GERD
- October 17, 2008
- David A. Johnson, MD
- Gastroenterology
GERD patients treated with laparoscopic antireflux surgery had results comparable to those treated with esomeprazole, but that is not the end of the story.- Reviewing:
- Lundell L et al., Gut 2008 Sep; 57:1207.
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LAPAROSCOPIC SURGERY FOR GASTROESOPHAGEAL REFLUX.
- February 3, 1998
- AS Brett
- General Medicine
Symptoms of gastroesophageal reflux usually respond to therapy with proton pump inhibitors, but there is still a role for surgery in selected cases. Laparoscopic Nissen . . .- Reviewing:
- Anvari M and Allen C., Ann Surg 1998 Jan; 227:
25 32 .
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A Magnetic Sphincter Device Shows Promise for GERD
- February 20, 2013
- David A. Johnson, MD
- Gastroenterology
Esophageal acid exposure was significantly reduced in 64% of patients who had the device surgically implanted.
CME Exam- Reviewing:
- Ganz RA et al., N Engl J Med 2013 Feb 21; 368:719.
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Pneumatic Dilation vs. Surgery for Achalasia Free
- May 11, 2011
- David A. Johnson, MD
- Gastroenterology
Study findings challenge the growing preference for laparoscopic Heller myotomy.
CME Exam- Reviewing:
- Boeckxstaens GE et al., N Engl J Med 2011 May 12; 364:1807.
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Looking for Reflux with MII: How Useful Is It?
Multichannel intraluminal impedance results rarely changed management decisions.- Reviewing:
- Rosen R et al., J Pediatr Gastroenterol Nutr 2011 Apr; 52:404.
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Optimal pH Monitor Placement for Diagnosing GERD
- March 6, 2009
- David A. Johnson, MD
- Gastroenterology
Placement of electrodes closer to the lower esophageal sphincter enhanced the diagnostic sensitivity of pH monitoring for GERD.- Reviewing:
- Wenner J et al., Am J Gastroenterol 2008 Dec; 103:2977.
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Open Repair of Inguinal Hernia Is Best
- February 25, 2009
- Cornelius W. Van Niel, MD
- Pediatrics and Adolescent Medicine
Laparoscopic inguinal hernia repair in children was associated with similar time to recovery as open repair but more postoperative pain.- Reviewing:
- Koivusalo AI et al., Pediatrics 2009 Jan; 123:332.
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