Outcomes of Laparoscopic Nissen Fundoplication in Patients With the "Hypercontractile Esophagus"

Abstract

High-amplitude peristaltic contractions or HLES may be associated with GERD in a subset of patients with dysphagia or chest pain. In such patients, a Nissen fundoplication, by effectively controlling GERD, relieves these symptoms in most patients. A hypercontractile esophagus in patients with GERD should not be considered a contraindication to a total fundoplication. The surgeon and the patient should be aware of the risk of developing chest pain after the operation.