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295200

The Relation between Bougie Size and Postoperative Complications in Cases of Fundoplication Surgery

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Last updated: 01 Jan 2025

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Abstract

Abstract Background: Fundoplication is a surgical procedure used to treat stomach acid reflux. An effective length of fundopli-cation and bougie size has never been established in literature and it was mainly determined based on body weight or BMI. Aim of Study: Comparison between post-operative com-plications mainly dysphagia based on the size of bougie used during Nissen fundoplication for patients diagnosed with GERD. Material and Methods: Twenty patients were enrolled and randomized into two equal groups; group A “bougie size 40 French" and group B “bougie size 52 French". Any peri-operative related complications were documented and corre-lated to the size of bougie. Patients were seen in clinic 3 to 4 weeks after their operation for their postoperative check. All patient charts were reviewed for an upper endoscopy specifically for dysphagia and/or dilation within 6 months after surgery. Results: Patients in group (B) had nausea and heart burn recurrence more than group (A), patients in group (A) had gas bloating more than group (B) and each study group had the same number of patients who had vomiting without any significant difference between two study groups at any symp-tom. According to Eckardt score assessment pre- and post-operatively within two study groupsit was less post than preoperatively with statistically significant difference. Conclusion: A performance of Nissen fundoplication with a bougie offers a safe and effective therapy for gastroesopha-geal reflux disease although there were no differences between different sizes of esophageal bougie regarding postoperative complications. It may provide low rates of long-term postop-erative dysphagia and reflux recurrence.

DOI

10.21608/mjcu.2022.295200

Keywords

bougie size, Fundoplication, Dysphagia, Reflux

Authors

First Name

IBRAHIM M. ABDEL-MAKSOUD, M.D.;

Last Name

MOHAMED M. OMAR, M.D.

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First Name

MAHMOUD A. HELWA, M.Sc.;

Last Name

AHMED A. SHOKA, M.D.

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Affiliation

The Department of General Surgery, Faculty of Medicine, Ain Shams University

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Volume

90

Article Issue

12

Related Issue

39806

Issue Date

2022-12-01

Receive Date

2023-04-13

Publish Date

2022-12-01

Page Start

2,369

Page End

2,377

Print ISSN

0045-3803

Online ISSN

2536-9806

Link

https://mjcu.journals.ekb.eg/article_295200.html

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https://mjcu.journals.ekb.eg/service?article_code=295200

Order

295,200

Type

Original Article

Type Code

263

Publication Type

Journal

Publication Title

The Medical Journal of Cairo University

Publication Link

https://mjcu.journals.ekb.eg/

MainTitle

The Relation between Bougie Size and Postoperative Complications in Cases of Fundoplication Surgery

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Article

Created At

30 Dec 2024