The Relation between Bougie Size and Postoperative Complications in Cases of Fundoplication Surgery

Document Type : Original Article


The Department of General Surgery, Faculty of Medicine, Ain Shams University


Abstract Background: Fundoplication is a surgical procedure used to treat stomach acid reflux. An effective length of fundopli-cation and bougie size has never been established in literature and it was mainly determined based on body weight or BMI. Aim of Study: Comparison between post-operative com-plications mainly dysphagia based on the size of bougie used during Nissen fundoplication for patients diagnosed with GERD. Material and Methods: Twenty patients were enrolled and randomized into two equal groups; group A “bougie size 40 French” and group B “bougie size 52 French”. Any peri-operative related complications were documented and corre-lated to the size of bougie. Patients were seen in clinic 3 to 4 weeks after their operation for their postoperative check. All patient charts were reviewed for an upper endoscopy specifically for dysphagia and/or dilation within 6 months after surgery. Results: Patients in group (B) had nausea and heart burn recurrence more than group (A), patients in group (A) had gas bloating more than group (B) and each study group had the same number of patients who had vomiting without any significant difference between two study groups at any symp-tom. According to Eckardt score assessment pre- and post-operatively within two study groupsit was less post than preoperatively with statistically significant difference. Conclusion: A performance of Nissen fundoplication with a bougie offers a safe and effective therapy for gastroesopha-geal reflux disease although there were no differences between different sizes of esophageal bougie regarding postoperative complications. It may provide low rates of long-term postop-erative dysphagia and reflux recurrence.