reflux sp Nissen 3 months ago presents with dysphagia Tight Nissen Fundoplication Tight Nissen Fundoplication Single contrast UGI Smooth narrowing of a short segment of distal esophagu ID: 955666
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38 year old female, with hx of severe reflux, s/p Nissen 3 months ago, presents with dysphagia ? Tight Nissen Fundoplication T
ight Nissen Fundoplication • Single contrast UGI • Smooth narrowing of a short segment of distal esophagus along the fun
doplication site • Delayed transit of contrast Tight Nissen Fundoplication • A tight Nissen fundoplication refers to obstr
uction of the distal esophagus due to a fundoplication wrap that is too tight or too long (more than 2 cm) • Symptoms inclu
de dysphagia, bloating, and regurgitation of undigested food and persist several weeks after the procedure. Tight Nissen Fund
oplication • Barium examination shows a smooth narrowing of the distal esophagus, with proximal luminal dilatation and delay
ed esophageal clearance. • Treated by esophageal dilation; if unsuccessful, the fundoplication should be revised surgically