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JSLS. 2007 Jan-Mar;11(1):97-100.

Surgical approach after failed enteryx injection for GERD.

Author information

  • 1IRCAD/European Institute of Telesurgery, Louis Pasteur University, Strasbourg, France.

Abstract

OBJECTIVE:

We report on 3 patients who underwent laparoscopic antireflux procedures for persistent symptoms of GERD after biopolymer injection.

METHODS:

Experienced laparoscopic surgeons completed all 3 procedures laparoscopically. In 2 patients, there was an extramural extravasation of the polymer outside and adherent to the esophageal wall. In these patients, a partial posterior fundoplication was used. The third patient, who had the polymer material deposits removed preoperatively by endoscopic mucosal resection, underwent a Nissen fundoplication.

RESULTS:

Postoperative recovery was uneventful in all cases. At follow-up of 6 to 12 months, all patients were symptom free, off medical therapy, and experiencing no dysphagia.

CONCLUSION:

Surgical therapy for patients after failed biopolymer injection is safe and effective. The choice of surgery may depend on whether the polymer mass can be removed preoperatively.

PMID:
17651566
PMCID:
PMC3015802
[PubMed - indexed for MEDLINE]
Free PMC Article
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