Abstract
Background: Gastroesophageal reflux disease (GERD) is common in patients with head and neck carcinoma. The impact of laparoscopic fundoplication on laryngectomy patients with tracheoesophageal prostheses for voice restoration is unknown. Methods: Nine laryngectomy patients who use tracheoesophageal speech underwent laparoscopic fundoplication for documented reflux. Preoperative and postoperative symptoms were recorded. Quality of speech was documented before and after fundoplication. Results: Although 88% of patients had resolution of GERD symptoms, all developed bloating and hyperflatulence. There was no difference in quality of esophageal speech after laparoscopic fundoplication. Conclusions: Fundoplication in laryngectomy patients that use tracheoesophageal speech eliminates symptoms of gastroesophageal reflux and resolves regurgitation associated prosthesis erosion. Although nearly all patients are satisfied with outcome, there is a high incidence of postfundoplication bloating and hyperflatulence that may be life limiting. Poor quality tracheoesophageal speech should not be used as an indication for antireflux surgery.
Original language | English (US) |
---|---|
Pages (from-to) | 539-543 |
Number of pages | 5 |
Journal | American journal of surgery |
Volume | 183 |
Issue number | 5 |
DOIs | |
State | Published - 2002 |
Keywords
- Anti-reflux surgery
- Laparoscopic fundoplication
- Laryngectomy
- Tracheoesophageal prosthesis, GERD
- Tracheoesophageal speech
ASJC Scopus subject areas
- Surgery