Instructions
You are an intern in the upper GI surgery clinic. Brendan Murray, 45, has severe reflux despite high-dose PPIs. His endoscopy, pH study and manometry are done. He wants surgery and is booked for a laparoscopic Nissen fundoplication.
Obtain informed consent for a laparoscopic Nissen fundoplication
- You do not need to take a history or examine the patient
Investigations
Gastroscopy: LA grade C oesophagitis; 4 cm hiatus hernia; no Barrett's. pH study: significant reflux. Manometry normal.