Early Routine Use of Upper GI Contrast Series Post Paraesophageal Hernia Repair: A Single Institution Consecutive Case Series. Issue 3 (June 2019)

• Record Type: Journal Article
• Authors: Robertson-More, Connal; Prasad, Shalvin; Gill, Richdeep; Church, Neal; Mitchell, Philip; Debru, Estifanos
• Is Part Of: Surgical laparoscopy endoscopy & percutaneous techniques. Volume 29:Issue 3(2019)
• Publication Date: 2019-06
• Subjects: paraesophageal hernia -- fundoplication -- contrast imaging -- laparoscopy -- retrospective case-series; Endoscopic surgery -- Periodicals; Laparoscopic surgery -- Periodicals; Endoscopy -- Periodicals; Laparoscopy -- Periodicals; 617.550597
• DOI: 10.1097/SLE.0000000000000643
• Languages: English
• ISSNs: 1530-4515

Abstract

Abstract : Introduction: There is conflicting evidence with regard to the routine use of upper gastrointestinal contrast series in detecting early complications post paraesophageal hernia repair (PEHR). Methods: All cases booked for a PEHR between January 2007 and September 2015 were identified using hospital records. Standard demographic, operation, and imaging data were extracted. Results: We retrospectively identified 391 PEHR cases between January 2007 and September 2015. The mean age at the index operation was 66.7 years with a female predominance. The majority of index operations were elective and completed for a large paraesophageal hernia. Contrast studies were reported as normal in 70.6%, a leak in 0.3%, an obstruction in 27.9%, and early recurrence in 1.0%. Reoperation was required in 1.8% of cases. Conclusion: Routine upper gastrointestinal contrast studies post-PEHR changed management in 0.8% of cases and were unhelpful in determining the need for early reoperation in 57.1% of cases requiring reoperation.