{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T05:07:54Z","timestamp":1767676074757},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2007,1,5]],"date-time":"2007-01-05T00:00:00Z","timestamp":1167955200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2007,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Although gastroparesis does not influence gastroesophageal reflux disease (GERD) or antireflux surgery, many patients with GERD will also suffer from gastroparesis\u2010related bloating as a distinct symptom different from GERD\u2010related symptoms. The purpose of this study was to assess whether a pyloroplasty with a fundoplication will improve bloating symptoms in these patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospectively gathered database of all patients undergoing antireflux surgery was reviewed. All patients underwent history, physical examination, upper gastrointestinal endoscopy, esophageal manometry, 24\u2010hour esophageal pH monitoring, and, selectively, contrast upper gastrointestinal radiography. Patients with symptoms of bloating also underwent gastric emptying scintigraphy. All patients completed the GERD\u2010Health Related Quality of Life (HRQL) symptom severity questionnaire. One of the items of this instrument relates to bloating. The item is scored from 0 (asymptomatic) to 5 (incapacitating) based on descriptive anchors. Patients with symptomatic GERD and objective findings by physiologic testing were offered antireflux surgery. Those with delayed gastric emptying (defined as T<jats:sub>1\/2<\/jats:sub> &gt; 120\u00a0minutes) were also offered a pyloroplasty. Operations performed included a laparoscopic or open Nissen or Toupet fundoplication with a Heineke\u2013Mickulicz pyloroplasty. Postoperatively, patients completed the GERD\u2010HRQL and had a gastric emptying scintigraphy performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three\u2010hundred and sixty\u2010nine patients underwent antireflux surgery; of these, 35 patients also had a pyloroplasty. Twenty\u2010eight (80%) of these patients reported significant symptomatic improvement. The median preoperative bloating score improved from 4 to 1 postoperatively (<jats:italic>P<\/jats:italic> &lt; 0.05), and the median gastric emptying scintigraphy T<jats:sub>1\/2<\/jats:sub> improved from 244 to 112\u00a0minutes (<jats:italic>P<\/jats:italic> &lt; 0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although gastroparesis may not contribute to symptoms of GERD, it can contribute to symptoms of bloating. Bloating symptoms improved in 80% of patients with the addition of a pyloroplasty. Therefore, addition of pyloroplasty to a fundoplication in patients with gastroparesis\u2010related bloating can improve bloating symptoms.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-006-0723-z","type":"journal-article","created":{"date-parts":[[2007,1,11]],"date-time":"2007-01-11T15:08:50Z","timestamp":1168528130000},"page":"332-336","source":"Crossref","is-referenced-by-count":40,"title":["Pyloroplasty with Fundoplication in the Treatment of Combined Gastroesophageal Reflux Disease and Bloating"],"prefix":"10.1002","volume":"31","author":[{"given":"Suhair","family":"Masqusi","sequence":"first","affiliation":[{"name":"Division of General Surgery Henry Ford Hospital Detroit MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vic","family":"Velanovich","sequence":"additional","affiliation":[{"name":"Division of General Surgery Henry Ford Hospital Detroit MI USA"},{"name":"Division of General Surgery K\u20108, Henry Ford Hospital 2799 West Grand Blvd 48202\u20102689 Detroit MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,1,5]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2001.04680.x"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004836\u2010200203000\u201000004"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004640000365"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010200108000\u201000002"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572\u20100241.2006.00640.x"},{"key":"e_1_2_5_7_2","first-page":"39","article-title":"Postoperative gastrointestinal complaints after laparoscopic Nissen fundoplication","volume":"10","author":"Frantzides CT","year":"2006","journal-title":"JSLS"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1091\u2010255X(98)80004\u20108"},{"key":"e_1_2_5_9_2","doi-asserted-by":"crossref","unstructured":"VelanovichV. 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