Intraoperative esophageal manometry and fundoplications: prospective study

World Journal of Surgery
K SlimJ Chipponi

Abstract

The purpose of this study was to validate the use of intraoperative manometry for assessing fundoplication and to search for predictive manometric criteria. This prospective study concerned 48 patients operated for gastroesophageal reflux. The manometry was carried out pre- and intraoperatively for all patients and postoperatively as well for 30 patients. The operative procedures were total fundoplication (n = 25) and posterior (partial) fundoplication (n = 5). The lower esophageal sphincter (LES) pressures and lengths were similar in the preoperative and intraoperative measurements before any esophageal mobilization, whereas the intraoperative LES pressure was significantly higher after fundoplication. The mean postoperative LES pressure decreased by 50 +/- 19% compared with the intraoperative pressure after fundoplication. The final intraoperative pressures of two dysphagic patients were not the highest of the study. More importantly, their final intraoperative pressures were 7.5 and 8.2 times the initial pressure, respectively, which was significantly greater than the intraoperative pressure increase of the nondysphagic patients (4.6 +/- 2.0 times). The final intraoperative pressure of the only patient with recurrence (18.2 ...Continue Reading

Citations

Aug 15, 2000·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·P TopartP Lozac'h
Apr 19, 2007·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·M Neufeld, A Graham
May 15, 2008·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·Y LeiM J Krasna
Jun 12, 2004·American Journal of Surgery·Richard E DavisCharles J Filipi
Nov 26, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Bin WangMing Qiu

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