P.04.16 ENDOSCOPIC POST FUNDOPLICATIO: IS IT NECESSARY?

Abstract

Background and aim: GERD is a chronic, relapsing disease, with complications (EB). The pharmacological and surgical treatments antireflux are effective in controlling the symptoms of reflux. The laparoscopic fundoplicatio is effective in the prevention of pathological reflux acids and non-acids. The aim of our study is to evaluate the effectiveness of endoscopy after fundoplicatio. Material and methods: From February 2011 to October 2012 we performed endoscopy in 15 patients who underwent laparoscopic fundoplicatio for gastroesophageal reflux. The indication to perform endoscopy was a continuation or recurrence of reflux-related symptoms or onset of new symptoms, dysphagia. 12 patients had 15–18 weeks after complaining dyspeptic symptoms (postprandial bloating and heaviness, regurgitation, etc.), 3 patients had dysphagia to solids after 8–12 weeks after surgery. All patients were subjected to EGDS and has been evaluated the morphology of the gastroesophageal junction sec the classification of Hill skinfold mucosa along the lesser curve with endoscope in retroversion. Results: 8 patients was grade I sec. Classification Hill (prominent fold mucosa), 4 patients were grade II sec. Classification Hill (fold mucosa present with the opening and closing), 3 patients were grade III sec. Classification Hill. Patients with dysphagia had the fold mucosa not prominent and therefore fell within the grade III. Conclusions: EGDS after fundoplicatio is a simple procedure that allows to verify the effectiveness of surgical treatment, gastroesophageal continence and the possible presence of recurrent hernia. Must be made if patients have symptoms or persistent symptoms of new onset.