Cited by 155Transplantation: Methods and OutcomesGastroesophageal reflux and treatmentsOrgan Transplantation Techniques and Outcomes

The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.

Fundoplication After Lung Transplantation Prevents the Allograft Dysfunction Associated With Reflux

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Abstract

Background Gastroesophageal reflux disease (GERD) in lung recipients is associated with decreased survival and attenuated allograft function. This study evaluates fundoplication in preventing GERD-related allograft dysfunction. Methods Prospectively collected data on patients who underwent transplantation between January 2001 and August 2009 were included. Lung transplant candidates underwent esophageal pH probe testing before transplantation and surveillance spirometry evaluation after transplantation. Bilateral lung transplant recipients who had pretransplant pH probe testing and posttransplant 1-year forced expiratory volume in the first second of expiration (FEV1) data were included for analysis. Results Of 297 patients who met study criteria, 222 (75%) had an abnormal pH probe study before or early after transplantation and 157 (53%) had a fundoplication performed within the first year after transplantation. Patients with total proximal acid contact times greater than 1.2% or total distal acid contact times greater than 7.0% demonstrated an absolute decrease of 9.4% (± 4.6) or 12.0% (± 5.4) in their respective mean 1-year FEV1 values. Patients with abnormal acid contact times who did not undergo fundoplication had considerably worse predicted peak and 1-year FEV1 results compared with recipients receiving fundoplication (peak percent predicted = 75% vs. 84%; p = 0.004 and 1-year percent predicted = 68% vs. 77%; p = 0.003, respectively). Conclusions Lung transplant recipients with abnormal esophageal pH studies attain a lower peak allograft function as well as a diminished 1-year FEV1 after transplantation. However a strategy of early fundoplication in these recipients appears to preserve lung allograft function.

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Crossref · 10.1016/j.athoracsur.2011.04.035

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  • Anti-reflux surgery before and early after transplant has been associated with a decrease in the development of early allograft dysfunction.

    “Anti-reflux surgery pre-transplant and early post-transplant has been associated with a decrease in the development of early allograft dysfunction.(34, 35)”

    From Consensus document for the selection of lung transplant candidates: An update from the International Society for Heart and Lung Transplantation. (2021) · cites this paper as [35]

    The Results and Conclusions (page unavailable) associate fundoplication within the first year after transplantation with better peak and 1-year allograft function in recipients with abnormal reflux testing. The Methods distinguish reflux testing before transplantation from surgery after transplantation; this study does not support the claim about pre-transplant surgery or directly establish a decrease in the development of early allograft dysfunction. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

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  1. Young, 2003, Lung transplantation exacerbates gastroesophageal reflux disease, Chest, 124, 1689, 10.1378/chest.124.5.1689 · DOI

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Metadata

Authors
Hartwig, M. G., Anderson, D. J., Onaitis, M. W., Reddy, S., Snyder, L. D., Lin, S. S., & Davis, R. D.
Affiliations
  • Duke University (US)
  • Duke Medical Center (US)
Corresponding author
Davis, R. Duane
Venue
The Annals of Thoracic Surgery
Publisher
Elsevier BV
Published
2011-08
Volume
92
Issue
2
Pages
462-469
ISSN
0003-4975 (ISSN-L)
OpenAlex
W2023009191
Cited by
155
References
16
Citations by year
2026: 4 · 2025: 12 · 2024: 11 · 2023: 16 · 2022: 10 · 2021: 16 · 2020: 14 · 2019: 6 · 2018: 16 · 2017: 11 · 2016: 3 · 2015: 15 · 2014: 7 · 2013: 6 · 2012: 8
FWCI
6.88
Type
journal article
Language
en
Open access
Locations
  • The Annals of Thoracic Surgery (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (5k23ai095357-03)
  • National Institute of Allergy and Infectious Diseases (K23-AI095357)
Topics
  • Health Sciences › Medicine › Surgery › Transplantation: Methods and Outcomes
  • Health Sciences › Medicine › Gastroenterology › Gastroesophageal reflux and treatments
  • Health Sciences › Medicine › Surgery › Organ Transplantation Techniques and Outcomes
Keywords
fundoplication, lung transplantation, gastroesophageal reflux disease, allograft dysfunction, esophageal pH monitoring, FEV1, post-transplant survival, reflux prevention
MeSH terms
Combined Modality Therapy, Female, Forced Expiratory Volume, Gastroesophageal Reflux, Graft Rejection, Graft Survival, Humans, Male, Middle Aged, North Carolina, Patient Care Team, Postoperative Complications, Reoperation, Respiratory Insufficiency, Retrospective Studies, Spirometry, Lung Transplantation, Fundoplication, Esophageal pH Monitoring

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