Variability in endoscopic assessment of Nissen fundoplication wrap integrity and hiatus herniation.
Erin J SongRena H YadlapatiJoan W ChenAlice ParishMatthew J WhitsonKarthik RaviAmit PatelDustin A CarlsonAbraham KhanDonna NiedzwieckiDavid A LeimanPublished in: Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus (2022)
In this multi-center survey study, GI fellows had the lowest accuracy and confidence in assessing EGD images after Nissen fundoplication, whereas esophagologists had the highest. Diagnostic confidence varied considerably and inter-rater agreement was poor. These findings suggest experience may improve confidence, but highlight the need to improve the evaluation of fundoplication wraps.