Abstract
The intra-operative measurement of lower esophageal sphincter (LES) pressure can aid the surgeon in primary repair of the gastroesophageal junction. We evaluated 1,000 patients undergoing primary repairs; 540 patients underwent surgery before the introduction of LES pressure measurements and 460 patients after LES pressure measurement. The incidence of continued reflux was lower in the group having intraoperative LES pressure measurement (4.5% vs. 1.5%). The incidence of continued reflux in this group has been <1%. The measurement of intra-operative LES pressure brings objective technology to our patients and improves their quality of life.
Résumé
La mesure peropératoire de la pression du sphincter du bas oesophage (LESP) peut aider le chirurgien à une première reconstitution de la jonction gastro-oesophagienne. Nous avons étudié 1000 patients subissant une première intervention; 540 patients one été opérés avant l'introduction de la mesure de la pression du sphincter du bas oesophage et 460 patients one été opérés après. L'incidence d'un reflux persistant était plus basse dans le groupe ayant bénéficié de la mesure peropératoire de la LESP (4.5% vs 1.5%). L'incidence du reflux persistant dans ce groupe a été <1%. La mesure peropératoire de la pression du sphincter du bas oesophage est un apport technologique pour nos patients et améliore leur qualité de vie.
Resumen
La medición intraoperatoria de la presión del esfinter esofágico inferior (PEEI) puede ser de ayuda para el cirujano en el curso de la reparación primaria de la unión gastroesofágica. Evaluamos 1.000 pacientes sometidos a reparación primaria; 540 fueron a cirugía antes de introducir la medición de la PEEI y 460 después de su introducción. La incidencia de reflujo continuado fue menor en el grupo al cual se le midió intraoperatoriamente la PEEI (4.5% vs. 1.5%). La incidencia de reflujo continuado en este grupo ha sido <1%. La medición intraoperatoria de la PEEI representa una tecnología objectiva para el buen manejo de nuestros pacientes y resulta en mejoría de la calidad de su vida.
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References
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Hill, L.D., Kraemer, S.J.M. Does modern technology belong in gastro-intestinal surgery? A step from subjective perception to objective information. World J. Surg. 16, 341–342 (1992). https://doi.org/10.1007/BF02071544
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DOI: https://doi.org/10.1007/BF02071544