{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:12:11Z","timestamp":1761822731021},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2004,6,8]],"date-time":"2004-06-08T00:00:00Z","timestamp":1086652800000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2004,6]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> \u2003Reflux of duodeno\u2010gastric fluid is a significant problem after oesophagectomy with gastric conduit reconstruction. It can impact considerably upon the patient's quality of life and can induce oesophagitis and Barrett's metaplasia in the remnant oesophagus.<\/jats:p><jats:p><jats:bold>Aim:<\/jats:bold> \u2003The aim of the present study was to describe the use of a modified fundoplication in controlling reflux after oesophagectomy.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> \u2003Patients undergoing subtotal oesophagectomy at the Royal Adelaide Hospital were identified. Clinical and operative details were obtained from hospital records. All patients had an end oesophagus to side stomach anastomosis. Two cohorts were identified \u2013 one with a standard anastomosis only and the other in whom a modified fundoplication had been added. A structured phone interview was used to assess reflux in the two groups with a minimum of 6\u2003months follow up. The interviewer was blinded to the operative details.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> \u2003The operative technique is described. A total of 44 patients were assessed, 33 having the fundoplication type anastomosis and 11 the standard anastomosis. Operative morbidity was not different between the groups. Symptoms of reflux were better controlled in patients with the fundoplication anastomosis than in patients with a standard anastomosis. Of those with a fundoplication, 14 of 33 patients (42%) were asymptomatic with respect to reflux compared to only one of 11 patients (9%) in the standard anastomosis group. Only four of the 33 patients (12%) with a fundoplication anastomosis had symptoms of severe reflux while seven of the 11 patients (63%) with a standard anastomosis had severe reflux symptoms.<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> \u2003This initial evaluation of a modified fundoplication as an antireflux manoeuvre after oesophagectomy suggests that the technique is effective in controlling post\u2010oesophagectomy reflux in the majority of patients. It is simple to perform and may have benefits in improving quality of life and preventing oesophagitis and metaplastic changes in the remnant oesophagus. A more detailed prospective study of the technique is warranted.<\/jats:p>","DOI":"10.1111\/j.1445-1433.2004.03031.x","type":"journal-article","created":{"date-parts":[[2004,12,19]],"date-time":"2004-12-19T00:28:23Z","timestamp":1103416103000},"page":"434-438","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Antireflux anastomosis following oesophagectomy"],"prefix":"10.1111","volume":"74","author":[{"given":"A.","family":"Aly","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G. G.","family":"Jamieson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Pyragius","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. G.","family":"Devitt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,6,8]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"639","article-title":"Long term outcomes following esophagectomy","volume":"10","author":"Schuetz J","year":"2000","journal-title":"Chest Surg. Clin. N. Am."},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4169"},{"key":"e_1_2_6_4_2","first-page":"71","article-title":"Can esophagogastric anastomosis prevent gastroesophageal reflux?","volume":"37","author":"Wang Q","year":"1999","journal-title":"Chin. J. Surg."},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200104000-00005"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004836-199203000-00004"},{"key":"e_1_2_6_7_2","first-page":"226","article-title":"Synchronous combined esophagectomy in the \u2018French\u2019 position","volume":"9","author":"Baigrie RJ","year":"1996","journal-title":"Dis. Esoph."},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01556541"},{"key":"e_1_2_6_9_2","first-page":"G168","article-title":"A physical model of the intrathoracic stomach","volume":"254","author":"Bemelman W","year":"1988","journal-title":"Am. J. Physiol."},{"key":"e_1_2_6_10_2","volume-title":"Second World Congress of Collegium Internationale Chirurgae.","author":"Dragojevic D"},{"key":"e_1_2_6_11_2","first-page":";","volume-title":"Surgery of the Oesophagus.","author":"McKeown KC","year":"1988"},{"key":"e_1_2_6_12_2","first-page":"1298","article-title":"Pharyngeal reflux after gastric pull\u2010up esophagectomy with neck and chest anastomoses","volume":"119","author":"Johansson J","year":"2000","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1442-2050.2001.00207.x"},{"key":"e_1_2_6_14_2","first-page":"770","article-title":"The efficacy of pyloroplasty affecting to (sic) oral intake and quality of life using reconstruction with gastric tube pull up oesophagectomy","volume":"44","author":"Kobayashi A","year":"1996","journal-title":"Nippon Hyobu Geka Gakkai Zasshi"},{"key":"e_1_2_6_15_2","first-page":"137","article-title":"Control of post resection gastroesophageal reflux. The intercostal pedicle esophagogastropexy experience of 20 years","volume":"59","author":"Demos N","year":"1993","journal-title":"Am. Surg."},{"key":"e_1_2_6_16_2","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1016\/S0096-5588(20)30969-7","article-title":"A method of preventing peptic esophagitis following esophagogastrostmy","volume":"28","author":"Watkins D","year":"1954","journal-title":"J Thorac. Surg."},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/thx.11.4.275"},{"key":"e_1_2_6_18_2","first-page":"600","article-title":"A procedure to prevent reflux after esophagogastric resection: experience with 17 patients","volume":"50","author":"Lortat\u2010Jacob J","year":"1960","journal-title":"Surgery"},{"key":"e_1_2_6_19_2","first-page":"187","article-title":"The ink well anastomosis in oesophageal reconstruction","volume":"41","author":"Proctor D","year":"1967","journal-title":"SA Med. J."},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197908000-00014"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2050.2000.00135.x"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197401000-00006"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1442-2050.2001.00180.x"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)42059-X"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)39665-5"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1093\/dote\/7.3.188"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1445-1433.2004.03031.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1445-1433.2004.03031.x","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1445-1433.2004.03031.x","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/j.1445-1433.2004.03031.x","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1445-1433.2004.03031.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T01:56:00Z","timestamp":1694051760000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1445-1433.2004.03031.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,6]]},"references-count":25,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2004,6]]}},"alternative-id":["10.1111\/j.1445-1433.2004.03031.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1445-1433.2004.03031.x","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,6]]},"assertion":[{"value":"2004-06-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}