Variability in endoscopic assessment of Nissen fundoplication wrap integrity and hiatus herniation.

ABSTRACT:

Background

Upper endoscopy (EGD) is frequently performed in patients with esophageal complaints following anti-reflux surgery such as fundoplication. Endoscopic evaluation of fundoplication wrap integrity can be challenging. Our primary aim in this pilot study was to evaluate the accuracy and confidence of assessing Nissen fundoplication integrity and hiatus herniation among gastroenterology (GI) fellows, subspecialists, and foregut surgeons.

Methods

Five variations of post-Nissen fundoplication anatomy were included in a survey of 20 sets of EGD images that was completed by GI fellows, general GI attendings, esophagologists, and foregut surgeons. Accuracy, diagnostic confidence, and inter-rater agreement across providers were evaluated.

Results

There were 31 responde

SUBMITTER: Song EJ 

PROVIDER: S-EPMC9118466 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature