How do you manage a patient with persistent dysphagia 3 months after Nissen Fundoplication?
Dysphagia is common directly after Nissen fundoplication, and normally disappear within 3 weeks postop, your approach regarding patient with persistent dysphagia 3-4 months postop
Hey, hows it going with your patient so far? It would be good to know more about the exact symptoms. In which swallowing stage do the problems occur?
Are there any differences with his voice? No paresis of the n.vagus (n. recurrens/ n. langygeus superior) during the operation?
What are the barium and endoscopy findings. Did the surgery proceed well. Were there any issues at the time of surgery
Do you routinely take the short gastric vessels ? What was the pre op manometry results in terms of oes motility
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