CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 2013;11:e39

Exam 2: Gastroesophageal Reflux Disease Treatment: SideEffects and Complications of Fundoplication

Test ID No.: 0177 Contact Hours: 1.0 Expiration Date: May 31, 2014

Question 1:

Since the introduction of laparoscopic antireflux surgery in1993, the number of procedures performed continues to in-

crease yearly.

Question 2:

Question 3:

Question 4:

Question 5:

a. Trueb. False

The most common perioperative/immediate postoperativecomplication of antireflux surgery is:

a. Esophageal perforationb. Stomach perforationc. Injury to the spleen

d. Severe nausea with vomiting

Which of the following is not a common late postoperativecomplication of antireflux surgery?

a. Gas-bloat syndromeb. Dysphagiac. Constipation

d. Increased flatulence

The first treatment of postoperative dysphagia after a Nissenfundoplication should be:

a. Modify diet – softer foodsb. Bougie dilation with diameter �20 mmc. Pneumatic dilation with diameter �20 mm

d. Revision operation

Many patients complain of heartburn and are back on PPIs5–10 years after antireflux surgery. What general percentageactually has documented acid reflux by post testing?

a. 10%b. 25%c. 40%

d. 80%