PMID: 43216Nov 1, 1979

Is there a characteristic constellation of findings in esophageal functional diagnosis after antireflux operations?

Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen
T HeilW Klein


The significance of the finding esophagitis (grade I) in 23 patients was evaluated by manometry, measurement of pH and acid clearance test 18 months after the antireflux procedure (Lortat-Jacob). The provocation of pathological reflux was impossible (reflux provocation test). The acid clearance test demonstrated a low grade delay of the emptying rate. From these results it is supposed that the antiflux procedure only produces a pressure barrier but not a digestive sphincter. According to the pressure barrier in the functional analysis of the esophagus, three typical findings appeared: esophagitis (grade I), normal pH-monitoring, and delayed acid clearance.

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