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Mattox HE, Albertson DA, Castell DO, et al. Dysphagia following fundoplication: "slipped" fundoplication versus achalasia complicated by fundoplication. Am J Gastroenterol. 1990;85(11):1468-72
Mattox, H. E., Albertson, D. A., Castell, D. O., & Richter, J. E. (1990). Dysphagia following fundoplication: "slipped" fundoplication versus achalasia complicated by fundoplication. The American journal of gastroenterology, 85(11), 1468-72.
Mattox, H E, et al. "Dysphagia following fundoplication: "slipped" fundoplication versus achalasia complicated by fundoplication." The American journal of gastroenterology vol. 85,11 (1990): 1468-72.
Mattox HE, Albertson DA, Castell DO, Richter JE. Dysphagia following fundoplication: "slipped" fundoplication versus achalasia complicated by fundoplication. Am J Gastroenterol. 1990 Nov;85(11):1468-72. PMID: 2239875.
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Am J Gastroenterol. 1990 Nov;85(11):1468-72.

Dysphagia following fundoplication: "slipped" fundoplication versus achalasia complicated by fundoplication.

The American journal of gastroenterology

H E Mattox, D A Albertson, D O Castell, J E Richter

Affiliations

  1. Department of Medicine, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina.

PMID: 2239875

Abstract

Failure to obtain preoperative esophageal manometry in patients being considered for antireflux surgery can result in immediate persistent postoperative dysphagia due to a missed diagnosis of achalasia. We describe the clinical assessment and management of a case of delayed postoperative dysphagia due to a "slipped" fundoplication, which is contrasted with three patients with immediate postoperative dysphagia due to a missed diagnosis of achalasia. Surgical revision was required to correct the "slipped" fundoplication, and pneumatic dilatation was successfully used in two of three cases of achalasia complicated by fundoplication. Careful preoperative esophageal evaluation with manometry is essential to rule out the presence of a primary esophageal motor disorder.

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