Post-operative HRIM and FLIP for dysphagia following antireflux procedures

John Erik Pandolfino*, Dustin Allan Carlson

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter


Post-operative dysphagia after an antireflux procedure is a common problem that requires a thorough evaluation of anatomy and physiology to determine whether the complaint is due to obstruction at the esophagogastric junction or a defect in peristalsis that was either missed or underestimated during the pre-operative assessment. Many tools are helpful in this assessment and the first step is to assess the anatomy of the EGJ as antireflux procedures focus primarily on attempting to augment the barrier function of this anatomic zone. This can be accomplished with a careful endoscopy or a barium esophagram to determine whether the antireflux procedure is intact or potentially disrupted with or without herniation. Additionally, these tools are also important in ruling out strictures and other mechanical problems related to the various endoscopic and surgical approaches.

Original languageEnglish (US)
Title of host publicationHiatal Hernia Surgery
Subtitle of host publicationAn Evidence Based Approach
PublisherSpringer International Publishing
Number of pages18
ISBN (Electronic)9783319640037
ISBN (Print)9783319640020
StatePublished - Jan 1 2017

ASJC Scopus subject areas

  • General Medicine


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