Oesophageal dysmotility is not associated with poor outcome after laparoscopic Nissen fundoplication

Beckingham, I. J.; Cariem, A.; Bornman, P. C.; Callanan, Marie; Louw, J. A.

doi:10.1046/j.1365-2168.1998.00832.x

Cited by 82 publications

(53 citation statements)

References 26 publications

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“…It has been suggested that manometry could subgroup gastroesophageal reflux disease patients into those requiring partial or total fundoplication treatment [29][30][31] . However, studies have not been able to prove that preoperative manometry could predict postoperative outcome in terms of dysphagia [32][33][34] . Measurement of axial force is more likely to identify patients who would develop postoperative dysphagia, although proof awaits clinical studies.…”

Section: Resultsmentioning

confidence: 99%

Axial force measurement for esophageal function testing

Gravesen¹,

Funch‐Jensen²,

Gregersen³

et al. 2009

WJG

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The esophagus serves to transport food and fluid from the pharynx to the stomach. Manometry has been the "golden standard" for the diagnosis of esophageal motility diseases for many decades. Hence, esophageal function is normally evaluated by means of manometry even though it reflects the squeeze force (force in radial direction) whereas the bolus moves along the length of esophagus in a distal direction. Force measurements in the longitudinal (axial) direction provide a more direct measure of esophageal transport function. The technique used to record axial force has developed from external force transducers over in-vivo strain gauges of various sizes to electrical impedance based measurements. The amplitude and duration of the axial force has been shown to be as reliable as manometry. Normal, as well as abnormal, manometric recordings occur with normal bolus transit, which have been documented using imaging modalities such as radiography and scintigraphy. This inconsistency using manometry has also been documented by axial force recordings. This underlines the lack of information when diagnostics are based on manometry alone. Increasing the volume of a bag mounted on a probe with combined axial force and manometry recordings showed that axial force amplitude increased by 130% in contrast to an increase of 30% using manometry. Using axial force in combination with manometry provides a more complete picture of esophageal motility, and the current paper outlines the advantages of using this method.

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Section: Resultsmentioning

confidence: 99%

Axial force measurement for esophageal function testing

Gravesen¹,

Funch‐Jensen²,

Gregersen³

et al. 2009

WJG

View full text Add to dashboard Cite

show abstract

“…Jobe [40] , in a ten years follow-up, noted a recurrence rate for reflux until 51% in patients treated with partial fundoplication (Toupet and Dor). Moreover, total fundoplication seems not to determinate a higher incidence of postoperative dysphagia compared with the partial wraps, even in patients with impaired peristalsis [41,42] . Patti [43] analysed the long-term results of patients treated with partial versus total antireflux procedures: efficacy was higher for total fundoplication (recurrence of reflux in 4% of patients with total fundoplication versus 19% in patients with partial fundoplication), while the incidence of postoperative dysphagia was similar in both groups, even in patients with impaired esophageal peristalsis (8% Toupet versus 9% Nissen).…”

Section: Discussionmentioning

confidence: 99%

Influence of age on outcome of total laparoscopic fundoplication for gastroesophageal reflux disease

Pizza

Rossetti²,

Limongelli³

et al. 2007

WJG

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AIM: To demonstrate that age does not influence the choice of treatment for gastroesophageal reflux disease (GERD). We hypothesized that the outcome of total fundoplication in patients > 65 years is similar to that of patients aged ≤ 65 years. METHODS:Fo u r h u n d re d a n d t w e n ty c o n s e c ut i ve p a t i e n t s u n d e r w e n t t o t a l l a p a ro s c o p i c fu ndoplication for GERD. Three hundred and fifty-five patients were younger than 65 years (group Y), and 65 patients were 65 years or older (group E). T h e fo l l o w i n g e l e m e n t s w e re c o n s i d e re d : p re sence, duration, and severity of GERD symptoms; p re s e n c e o f a h i a t a l h e r n i a ; m a n o m e t r i c e va l uation, 24 h pH-monitoring data, duration of operation; incidence of complications; and length of hospital stay. RESULTS:Elderly patients more often had atypical symptoms of GERD and at manometric evaluation had a higher rate of impaired esophageal peristalsis in comparison with younger patients. A mild intensity of heartburn often leads physicians to underestimate the severity of erosive esophagitis. The duration of the operation was similar between the two groups. The incidence of intraoperative and postoperative complications was low and the difference was not statistically significant between the two groups. An excellent outcome was observed in 92.9% young patients and 91.9% elderly patients. CONCLUSION:Laparoscopic antireflux surgery is a safe and effective treatment for GERD even in elderly patients, warranting low morbidity and mortality rates and a significant improvement of symptoms comparable to younger patients.

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“…Однако, по мнению некоторых авторов, данные манометрии слабо коррелируют с симптомами до антирефлюксной операции и послеоперационными результатами [8,9].…”

Pressure of the lower esophageal sphincter as a prognostic test result of antireflux surgery

Тимербулатов¹,

Senderovich²,

Гришина³

et al. 2015

Endosk. khir.

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Oesophageal dysmotility is not associated with poor outcome after laparoscopic Nissen fundoplication

Abstract: Preoperative manometric assessment of oesophageal motility does not correlate with postoperative outcome, and oesophageal dysmotility should not be regarded as a contraindication to laparoscopic Nissen fundoplication.

Cited by 82 publications

References 26 publications

Axial force measurement for esophageal function testing

Axial force measurement for esophageal function testing

Influence of age on outcome of total laparoscopic fundoplication for gastroesophageal reflux disease

Pressure of the lower esophageal sphincter as a prognostic test result of antireflux surgery

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