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Antireflux Surgery pp 189–195Cite as

Poor Esophageal Motility: A Tailored Approach?

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Abstract

New onset dysphagia following antireflux surgery is among the most undesirable side effects of an otherwise excellent therapy. While its cause is multifactorial, insufficient circular muscle strength of the esophageal body, not powerful enough to force the bolus through the distal neo-high pressure zone, can be a component of the pathophysiology. The relative merits of “tailoring” the degree of fundoplication based upon esophageal body motility and/or other clinical features have been debated for decades. Herein we discuss the rationale for a tailored approach, its pros and cons and review data published to date available to guide the clinician in individual patient decision-making.

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Author information

Authors and Affiliations

  1. University of Mainz Medical Center, Gerneral-, Viszeral- and Transplant-Surgery, Langenbeckstr. 1, Mainz, 55131, Germany

    Stefan Niebisch MD

  2. Department of Surgery, University of Rochester Medical Center, 601 Elmwood Avenue, Box SURG, Rochester, NY, 14642, USA

    Jeffrey H. Peters MD

Authors
  1. Stefan Niebisch MD
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  2. Jeffrey H. Peters MD
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Corresponding author

Correspondence to Stefan Niebisch MD .

Editor information

Editors and Affiliations

  1. GI and MIS Surgery, The Oregon Clinic Providence Portland Medical Center, Portland, Oregon, USA

    Lee L. Swanstrom

  2. GI and MIS Surgery, The Oregon Clinic Providence Portland Medical Center, Portland, Oregon, USA

    Christy M. Dunst

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© 2015 Springer New York

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Niebisch, S., Peters, J.H. (2015). Poor Esophageal Motility: A Tailored Approach?. In: Swanstrom, L., Dunst, C. (eds) Antireflux Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1749-5_20

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  • DOI: https://doi.org/10.1007/978-1-4939-1749-5_20

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1748-8

  • Online ISBN: 978-1-4939-1749-5

  • eBook Packages: MedicineMedicine (R0)

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