Is that ‘floppy’ fundoplication tight enough?

ConclusionsGEJ opening dynamics attained by EndoFLIP appear to be associated with symptomatic outcomes. When the Dmin and CSA do not decrease by a defined threshold, heartburn is more likely to be severe at 6 or more months postoperatively. This suggests that the fundoplication may not be tight enough to prevent persistent or recurrent GERD.

http://link.springer.com/10.1007/s00464-019-06947-z

Source: Surgical Endoscopy - July 7, 2019 Category: Surgery Source Type: research