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Surgical Endoscopy

, Volume 21, Issue 2, pp 285–288 | Cite as

Effect of partial and total laparoscopic fundoplication on esophageal body motility

  • F. A. M. Herbella
  • P. Tedesco
  • I. Nipomnick
  • P. M. Fisichella
  • M. G. PattiEmail author
Article

Abstract

Background

Abnormal esophageal body motility often accompanies gastroesophageal reflux disease (GERD). Although the effect of surgery on the pressure and behavior of the lower esophageal sphincter (LES) has been extensively studied, it still is unclear whether a successful fundoplication improves esophageal peristalsis.

Methods

The pre- and postoperative esophageal manometries of 71 patients who underwent a successful laparoscopic fundoplication (postoperative DeMeester score < 14.7) were reviewed. The patients were grouped according to the type of fundoplication (partial vs total) and preoperative esophageal peristalsis (normal vs abnormal): group A (partial fundoplication and abnormal esophageal peristalsis; n = 16), group B (total fundoplication and normal peristalsis; n = 41), and group C (total fundoplication and abnormal peristalsis; n = 14).

Results

The LES pressure was increased in all the groups. A significant increase in amplitude of peristalsis was noted in groups A and C. Normalization of peristalsis was achieved in 31% of the group A patients and 86% of the group C patients. No changes occurred in group B.

Conclusions

Laparoscopic fundoplication increased LES pressure and the strength of esophageal peristalsis in patients with abnormal preoperative esophageal motility. A total fundoplication resulted in normalization of peristalsis in the majority of patients.

Keywords

Ambulatory pH monitoring Esophageal manometry Esophageal peristalsis Gastroesophageal reflux disease Laparoscopic fundoplication 

Notes

Acknowledgment

Dr. Fernando Herbella was supported by the Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior, Brazil.

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Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • F. A. M. Herbella
    • 1
    • 2
  • P. Tedesco
    • 1
    • 2
  • I. Nipomnick
    • 1
    • 2
  • P. M. Fisichella
    • 1
    • 2
  • M. G. Patti
    • 1
    • 2
    Email author
  1. 1.Department of SurgeryUniversity of California San FranciscoSan FranciscoUSA
  2. 2.San FranciscoUSA

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