Influence of esophageal motility on the outcome of laparoscopic total fundoplication

Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus
F PizzaA Del Genio

Abstract

The aim of this study is to evaluate if esophageal dysmotility can influence the outcome of laparoscopic total fundoplication for gatro-esophageal reflux disease (GERD). The advent of laparoscopic fundoplication has greatly reduced the morbidity of antireflux surgery and by now, it should be considered the surgical treatment of choice for GERD. Some authors assert that total versus partial fundoplication should improve the rate of postoperative dysphagia or gas bloat syndrome, particularly in patients with esophageal dysmotility. From September 1992 to December 2005, 420 consecutive patients 171 male and 249 female, mean age 42.8 years (range 12-80) underwent laparoscopic Nissen-Rossetti fundoplication. At manometric evaluation, we divided patients into two groups: group A (163/420; 38.8%) with impaired esophageal peristalsis (peristaltic waves with a pressure < 30 mmHg), and group B (257/420; 61.2%) without impaired peristalsis. We followed up clinically 406 out of 420 (96.7%) patients, 156/163 patients (95.7%) in group A and 250/257 patients (97.3%) in group B. An excellent outcome was observed in 143/156 (91.7%) group A patients and in 234/250 (93.6%) group B patients (P = NS). Both groups showed significant improvement in c...Continue Reading

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Citations

Aug 21, 2010·Surgical Endoscopy·Dimitrios StefanidisUNKNOWN SAGES Guidelines Committee
Jun 24, 2010·World Journal of Gastroenterology : WJG·Cheng-Xiang ShanMing Qiu
Aug 31, 2011·World Journal of Gastroenterology : WJG·Natale Di MartinoAngelo Cosenza
Jul 4, 2013·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·G RossettiA del Genio
Dec 10, 2016·World Journal of Gastrointestinal Surgery·Salvatore ToloneLudovico Docimo
Dec 22, 2011·European Journal of Gastroenterology & Hepatology·Salman NusratKlaus Bielefeldt
Jul 10, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Gianmattia del GenioAlberto del Genio
May 3, 2014·Surgical Endoscopy·Karl Hermann FuchsUNKNOWN European Association of Endoscopic Surgery (EAES)
Aug 6, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Aleksandar P SimićPredrag M Peško
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Dec 14, 2011·Journal of Clinical Gastroenterology·Gianmattia Del GenioAlberto Del Genio
Dec 3, 2020·Revista do Colégio Brasileiro de Cirurgiões·Angela M FalcÃoIvan Cecconello

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