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Since the advent of laparoscopic fundoplication, more patients are undergoing surgical treatment of symptomatic gastroesophageal reflux disease (GERD), but many develop postfundoplication symptoms. In this study, researchers performed both endoscopy and barium esophagram in 22 consecutive patients with symptoms after laparoscopic fundoplication to compare the diagnostic utility of the 2 procedures.
Predominant symptoms were dysphagia in 14 patients, heartburn in 5, dyspepsia in 2, and chest pain in 1. During endoscopic assessment, clinicians recorded presence or absence of esophagitis, resistance to passage of the endoscope through the wrap, location of the squamocolumnar junction, wrap location (above or below the diaphragmatic hiatus), and…