title: Fundoplication for laryngopharyngeal reflux despite preoperative dysphagia.
abstract: INTRODUCTION Fundoplication for laryngopharyngeal disease with oesophageal dysmotility has led to mixed outcomes. In the presence of preoperative dysphagia and oesophageal dysmotility, this procedure has engendered concern in certain regards. METHODS This paper describes a consecutive series of laryngopharyngeal reflux (LPR) patients with a high frequency of dysmotility. Patients were selected for surgery with 24-hour dual channel pH monitoring, oesophageal manometry and standardised reflux scintigraphy. RESULTS Following careful patient selection, 33 patients underwent fundoplication by laparoscopy. Surgery had high efficacy in symptom control and there was no adverse dysphagia. CONCLUSIONS Evidence of proximal reflux can select a group of patients for good results of fundoplication for atypical symptoms.
authors.affiliation: Sydney Heartburn Clinic , Lindfield , Australia.
authors.forename: G L
authors.initials: GL
authors.lastname: Falk
authors.affiliation: Concord Nuclear Imaging , Sydney , Australia.
authors.forename: H
authors.initials: H
authors.lastname: Van der Wall
authors.affiliation: Concord Nuclear Imaging , Sydney , Australia.
authors.forename: L
authors.initials: L
authors.lastname: Burton
authors.affiliation: Sydney Heartburn Clinic , Lindfield , Australia.
authors.forename: M G
authors.initials: MG
authors.lastname: Falk
authors.affiliation: Sydney Heartburn Clinic , Lindfield , Australia.
authors.forename: H
authors.initials: H
authors.lastname: O'Donnell
authors.affiliation: Sydney Heartburn Clinic , Lindfield , Australia.
authors.forename: S J
authors.initials: SJ
authors.lastname: Vivian
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D003680:Deglutition Disorders / Q000150:complications*; D050782:Esophageal pH Monitoring; D005260:Female; D018662:Fundoplication; D006801:Humans; D010535:Laparoscopy; D057045:Laryngopharyngeal Reflux / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008365:Manometry; D008875:Middle Aged; D018579:Patient Selection; D011877:Radionuclide Imaging; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Cough; Dysphagia; Fundoplication; Laryngopharyngeal reflux; Reflux scintigraphy