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World Journal of Surgery

, Volume 16, Issue 2, pp 337–340 | Cite as

The relationship between intra-operative manometry and clinical outcome in patients operated on for gastro-esophageal reflux disease

  • Glyn G. Jamieson
  • Jennifer C. Myers
World Progress In Surgery

Abstract

Lower esophageal sphincter pressure has been assessed pre-operatively, intra-operatively, and more than 6 months postoperatively in 34 patients having antireflux surgery for gastro-esophageal reflux disease. The sphincter pressures associated with the outcome in relation to pH measured reflux and the symptoms of recurrent heartburn, gas bloating, and dysphagia have been determined. There was no significant difference between the intra-operative sphincter pressure or the postoperative sphincter pressure and any of these parameters. It is concluded that intra-operative manometry in its present form is not useful in antireflux surgery for primary gastro-esophageal reflux disease.

Keywords

Public Health Clinical Outcome Lower Esophageal Sphincter Present Form Mese 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Résumé

La pression du sphincter inférieur de l'oesophage a été évaluée en pré, per-opératoire et plus de 6 mois après l'intervention chez 34 patients ayant bénéficié d'une intervention anti-reflux pour reflux gastro-oesopahgien pathologique. La pression du sphincter inférieur, en cas de récidive du reflux confirmé par la pHmétrie et des symptômes comme le pyrosis, les éructations et la dysphagie, a été mesurée. Il n'a pas été observé de différance statistiquement significative entre les chiffres de pression per ou postopēratoire suivant l'existence ou non de ces paramètres. On peut donc conclure que la manometrie per opératoire dans sa forme actuelle n'a aucunintérêt dans la chirurgie antireflux en cas de reflux gastro-oesophagien primaire.

Resumen

Se ha valorado la presión del esfínter esofágico inferior en las fases preoperatoria e intraoperatoria, y luego más de 6 meses después de la operación, en 34 pacientes sometidos a cirugía antirreflujo por enfermedad por reflujo gastroesofágico. Se determinaron las presiones esfinterianas asociadas con el resultado, en cuanto a reflujo medido por pH, y los síntomas de pirosis recurrente, distensión gaseosa y disfagia. No se halló diferencia entre la presión esfinteriana intraoperatoria y la presión postoperatoria y cualquiera de estos parámetros. Nuestra conclusión es que la manometría intraoperatoria en su forma actual no es de utilidad práctica en la cirugía antirreflujo para enfermedad por reflujo gastroesofágico primario.

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Copyright information

© the Société Internationale de Chirurgie 1992

Authors and Affiliations

  • Glyn G. Jamieson
    • 1
  • Jennifer C. Myers
    • 1
  1. 1.Department of SurgeryRoyal Adelaide HospitalAdelaideAustralia

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