Abdelmoaty Walaa F, Swanstrom Lee L
Providence Portland Medical Center, Portland, OR, USA.
The Oregon Clinic, 4805 NE Glisan St, Suite 6N60, Portland, OR, 97213, USA.
Curr Gastroenterol Rep. 2017 Aug 24;19(10):51. doi: 10.1007/s11894-017-0592-7.
We aim to review the endoscopic evaluation of post-fundoplication anatomy and its role in assessment of fundoplication outcomes and in pre-operative planning for reoperation in failed procedures.
There is no universally accepted system for evaluating post-fundoplication anatomy endoscopically. However, multiple reports described the usefulness of post-operative endoscopy as a quality control measure and in the evaluation of complex cases such as repeat procedures and paraesophageal hernias (PEH). Endoscopic evaluation of post-fundoplication anatomy has an important role in assessing the outcomes of operative repair and pre-operative planning for failed fundoplications. Attempts have been made to characterize the appearance of the newly formed gastroesophageal valve after successful repairs and to standardize endoscopic reporting and classification of anatomic descriptions of failed fundoplications. However, there is no consensus. More studies are needed to evaluate the applicability and reproducibility of proposed endoscopic evaluation systems in order for such tools to become widely accepted.
我们旨在回顾内镜下对胃底折叠术后解剖结构的评估及其在评估胃底折叠术效果和失败手术再手术术前规划中的作用。
目前尚无普遍接受的内镜评估胃底折叠术后解剖结构的系统。然而，多篇报告描述了术后内镜检查作为质量控制措施以及在评估复杂病例（如重复手术和食管旁疝（PEH））中的有用性。内镜下对胃底折叠术后解剖结构的评估在评估手术修复效果和失败胃底折叠术的术前规划中具有重要作用。人们已尝试描述成功修复后新形成的胃食管瓣膜的外观，并使内镜报告和失败胃底折叠术解剖描述的分类标准化。然而，尚未达成共识。需要更多研究来评估所提出的内镜评估系统的适用性和可重复性，以使此类工具被广泛接受。
