Laparoscopic Hill repair in patients with abnormal motility

American Journal of Surgery
Ralph W AyeL D Hill

Abstract

Gastroesophageal reflux is frequently associated with abnormal motility in the body of the esophagus. Concern for dysphagia has led surgeons to perform less competent procedures in this group, or to avoid surgery altogether. The current study was undertaken to evaluate our experience with the laparoscopic Hill repair in patients with reflux-associated abnormal motility. A retrospective review of 338 laparoscopic Hill repairs was performed; 253 patients had adequate information for analysis, and 8 patients were excluded because of hypertensive motility. The remaining 245 patients were divided into group I (175) with normal esophageal body peristalsis, group IIA (37) with moderate dysmotility, and group IIB (33) with severe dysmotility. All patients underwent standard laparoscopic Hill repair. Follow-up included postoperative manometry and 24-hour pH studies and interview by an independent physician. Dilation for dysphagia was performed when necessary. Statistical analysis was performed using the F test. Mean follow-up was 11.0 months (range 1 to 41). Early dysphagia (<3 months) occurred in 4.0% of group I patients and 12.9% of group II patients. Late dysphagia (>3 months) occurred in 1.1% of group I patients and 1.4% of group II...Continue Reading

References

Feb 1, 1988·Digestive Diseases and Sciences·V F Eckardt
Sep 1, 1981·Annals of Surgery·C O RussellL D Hill
Jul 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·W K KauerC G Bremner
May 1, 1994·American Journal of Surgery·R W AyeP Snopkowski
Nov 1, 1996·Gastrointestinal Endoscopy·L D HillC E Pope
Aug 20, 2008·Nature Clinical Practice. Gastroenterology & Hepatology·David I Watson

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Citations

Jan 15, 2004·Gastrointestinal Endoscopy·Annette Fritscher-RavensPaul Swain
Apr 12, 2001·The British Journal of Surgery·V L Wills, D R Hunt
Apr 20, 2004·Anatomical Science International·Milton Melciades Barbosa Costa, Mario Ary Pires-Neto
Jul 24, 2012·The Annals of Thoracic Surgery·Ralph W AyeBrian E Louie
May 7, 2011·American Journal of Surgery·Ralph W AyeLucius D Hill
Jul 27, 2001·The European Journal of Surgery = Acta Chirurgica·B S HåkansonC E Pope
Dec 28, 2006·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·G B CadièreA K Gawlicka
Dec 28, 2006·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Annette Fritscher-Ravens, Paul Swain
Apr 1, 2018·Surgical Endoscopy·Yeseul ParkBrian E Louie

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