Functional Changes in the Cardioesophageal Region Following Laparoscopic Fundoplication
Authors:
M. Loveček; R. Vrba; R. Aujeský; Č. Neoral
Authors‘ workplace:
I. chirurgická klinika FN Olomouc, přednosta: doc. MUDr. Č. Neoral, CSc.
Published in:
Rozhl. Chir., 2008, roč. 87, č. 5, s. 237-241.
Category:
Monothematic special - Original
Overview
Functional changes of antireflux mechanisms after laparoscopic fundpolication.
Aim:
To examine manometry and pH-study in evaluation of the changes in measurable features of antireflux mechanisms after fundoplication for gastro-oesophageal reflux disease.
Methods:
Laparoscopic Nissen-Rossetti fundoplications with hiatorhaphy were performed in patients with gastroesophageal reflux disease. Preoperative and postoperative manometry and pH-study were compared in set of twenty satisfied orjerated without any complaints after surgery who agreed with preoperative and postoperative examinations.
Results:
Higher lenght of lower esophageal sphincter following antireflux fundoplication (P = 0.0003), increased tone of lower esophageal sphincter with antireflux fundoplication (P = 0.0001) and lower value of pH-study after fundoplication (P = 0.0001) were observed.
Conclusion:
Postoperative manometry and pH-study effectively evaluated gastro-oesophageal reflux changes following fundoplication for gastro-oesophageal reflux disease.
Key words:
gastroesophageal reflux – manometry – pH-study – fundoplication
Sources
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Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2008 Issue 5
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