Surgery & perioperative · Explanation & counselling

Reflux surgery consent

Medium

10 min station · 2 min reading · Recommended for Curtin Year 5 students

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S F P C

2 min reading · 10 min station · reminders at 2 min

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.

  1. 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.

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