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Laparoscopic Nissen fundoplication for treating reflux in lung transplant recipients.

Publication ,  Journal Article
O'Halloran, EK; Reynolds, JD; Lau, CL; Manson, RJ; Davis, RD; Palmer, SM; Pappas, TN; Clary, EM; Eubanks, WS
Published in: J Gastrointest Surg
January 2004

Gastroesophageal reflux disease may contribute to pulmonary injury and the development of bronchiolitis obliterans syndrome in lung transplant patients. As a result, such individuals are increasingly likely to undergo corrective gastrointestinal surgery. The present study collected outcome data for 28 lung transplant patients with documented reflux who underwent an uncomplicated laparoscopic Nissen fundoplication at our institution. The results were compared to data from 63 nontransplant reflux patients who had undergone the procedure over the same time period. All Nissen fundoplications were conducted by the same surgeon. There were no intraoperative or perioperative deaths in either patient group. Operative parameters did not differ but the postoperative hospital stay was significantly greater for the lung transplant patients (P<0.05). Seven transplant patients (25%) were readmitted within 30 days compared to two readmissions (3.2%) in the reflux group. Five transplant patients (17.9%) have died, all from pulmonary complications; on average, death occurred 15.5 months after the Nissen surgery. There have been no deaths in the reflux group. These data indicate that laparoscopic Nissen fundoplication can be performed on lung transplant recipients to treat reflux. The average hospital stay is longer and there are more frequent readmissions in this population, but this does not appear to be due to any Nissen-related morbidity.

Duke Scholars

Published In

J Gastrointest Surg

DOI

ISSN

1091-255X

Publication Date

January 2004

Volume

8

Issue

1

Start / End Page

132 / 137

Location

Netherlands

Related Subject Headings

  • Surgery
  • Retrospective Studies
  • Postoperative Complications
  • Patient Readmission
  • Middle Aged
  • Male
  • Lung Transplantation
  • Lung Diseases
  • Length of Stay
  • Laparoscopy
 

Citation

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ICMJE
MLA
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O’Halloran, E. K., Reynolds, J. D., Lau, C. L., Manson, R. J., Davis, R. D., Palmer, S. M., … Eubanks, W. S. (2004). Laparoscopic Nissen fundoplication for treating reflux in lung transplant recipients. J Gastrointest Surg, 8(1), 132–137. https://doi.org/10.1016/j.gassur.2003.10.1013
O’Halloran, Elizabeth K., James D. Reynolds, Christine L. Lau, Roberto J. Manson, R Duane Davis, Scott M. Palmer, Theodore N. Pappas, Erik M. Clary, and W Steve Eubanks. “Laparoscopic Nissen fundoplication for treating reflux in lung transplant recipients.J Gastrointest Surg 8, no. 1 (January 2004): 132–37. https://doi.org/10.1016/j.gassur.2003.10.1013.
O’Halloran EK, Reynolds JD, Lau CL, Manson RJ, Davis RD, Palmer SM, et al. Laparoscopic Nissen fundoplication for treating reflux in lung transplant recipients. J Gastrointest Surg. 2004 Jan;8(1):132–7.
O’Halloran, Elizabeth K., et al. “Laparoscopic Nissen fundoplication for treating reflux in lung transplant recipients.J Gastrointest Surg, vol. 8, no. 1, Jan. 2004, pp. 132–37. Pubmed, doi:10.1016/j.gassur.2003.10.1013.
O’Halloran EK, Reynolds JD, Lau CL, Manson RJ, Davis RD, Palmer SM, Pappas TN, Clary EM, Eubanks WS. Laparoscopic Nissen fundoplication for treating reflux in lung transplant recipients. J Gastrointest Surg. 2004 Jan;8(1):132–137.
Journal cover image

Published In

J Gastrointest Surg

DOI

ISSN

1091-255X

Publication Date

January 2004

Volume

8

Issue

1

Start / End Page

132 / 137

Location

Netherlands

Related Subject Headings

  • Surgery
  • Retrospective Studies
  • Postoperative Complications
  • Patient Readmission
  • Middle Aged
  • Male
  • Lung Transplantation
  • Lung Diseases
  • Length of Stay
  • Laparoscopy