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Gastric Function After Fundoplication

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Pediatric Neurogastroenterology

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Abstract

Fundoplication is a common operation in children. Even though it is very successful to control gastroesophageal reflux it can be associated with significant postoperative symptoms that may limit its effectiveness. Fundoplication reduces the volume of the stomach and uses most of the proximal stomach to create a wrap around the lower part of the esophagus, and therefore may have an impact on gastric sensorimotor function. Studies consistently show it may increase the rate of gastric emptying, decrease gastric accommodation, lead to impaired distribution of intragastric food with the ingested material reaching and distending the distal stomach much earlier than physiologically expected, alter the belching mechanisms, and may also produce visceral hypersensitivity. Postoperative symptoms that may be attributed to gastric sensorimotor dysfunction after surgery include inability to belch, early satiety, bloating, dyspepsia, gas-bloat syndrome, retching, pain, feeding refusal, diarrhea, and dumping. Given that the symptoms can originate from a variety of underlying problems, it is important to understand the pathophysiology of the symptoms in each patient, to be able to tailor therapy accordingly.

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Authors and Affiliations

  1. Center for Motility and Functional Gastrointestinal Disorders, Children’s Hospital Boston, 300 Longwood Ave, Boston, MA, 02155, USA

    Samuel Nurko M.D., M.P.H.

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  1. Samuel Nurko M.D., M.P.H.
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Correspondence to Samuel Nurko M.D., M.P.H. .

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Editors and Affiliations

  1. Division of Pediatric Gastroenterology Hepatology and Nutrition, CHU Sainte-Justine, Montreal, Québec, Canada

    Christophe Faure

  2. Department of Paediatric Gastroenterology, UCL Institute of Child Health, London, United Kingdom

    Nikhil Thapar

  3. Division of Pediatric Gastroenterology Hepatology, and Nutrition, Nationwide Children’s Hospital, Columbus, Ohio, USA

    Carlo Di Lorenzo

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Nurko, S. (2017). Gastric Function After Fundoplication. In: Faure, C., Thapar, N., Di Lorenzo, C. (eds) Pediatric Neurogastroenterology. Springer, Cham. https://doi.org/10.1007/978-3-319-43268-7_31

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  • DOI: https://doi.org/10.1007/978-3-319-43268-7_31

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  • Online ISBN: 978-3-319-43268-7

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