Functional Changes in the Cardioesophageal Region Following Laparoscopic Fundoplication

Česká verzia

Authors: M. Loveček; R. Vrba; R. Aujeský; Č. Neoral
Authors place of work: I. chirurgická klinika FN Olomouc, přednosta: doc. MUDr. Č. Neoral, CSc.
Published in the journal: Rozhl. Chir., 2008, roč. 87, č. 5, s. 237-241.
Category: Monothematic special - Original

Summary

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

Zdroje

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