Results of laparoscopic antireflux surgery for dysphagia and gastroesophageal reflux disease

Patti, Marco G.; Feo, Carlo V.; Pinto, Mario De; Arcerito, Massimo; Tong, Jenny; Gantert, Walter; Tyrrell, Dana; Way, Lawrence W.

doi:10.1016/s0002-9610(98)00259-1

Cited by 25 publications

(12 citation statements)

References 10 publications

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“…GERD is associated with esophageal dysmotility and symptoms such as dysphagia and chest pain. 12,13 However, our group 2,8 and others 14 have emphasized that symptoms correlate poorly with the diagnosis of GERD and esophageal motor disorders. Specifically, regarding NE and DES patients, previous studies failed to link symptoms and GERD.…”

Section: Symptomsmentioning

confidence: 83%

Primary Versus Secondary Esophageal Motility Disorders: Diagnosis and Implications for Treatment

Herbella

Raz²,

Nipomnick³

et al. 2009

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Ambulatory pH monitoring is essential in patients with a manometric pattern of either diffuse esophageal spasm (DES) or nutcracker esophagus (NE), since these diseases can be considered a primary esophageal motility disorder (PEMD) only in the absence of gastroesophageal reflux disease (GERD). If GERD is present, the motility abnormality is considered secondary, and treatment is directed toward reflux. The aims of this study were to determine in patients with a manometric picture of DES and NE (1) if symptoms alone can distinguish PEMD from GERD and (2) the value of ambulatory pH monitoring. A total of 180 patients fulfilled the manometric criteria for NE, and 124 (69%) of them had GERD detected by ambulatory pH monitoring. Among the 56 patients with PEMD, 31 (55%) were taking proton pump inhibitors on the assumption that GERD was present. Chest pain prevalence was similar when the two groups were compared; however, the symptom was more severe in the PEMD patients. Heartburn prevalence and severity was higher in the GERD group. A total of 121 patients fulfilled the manometric criteria for DES, and 73 (60%) of them had GERD detected by ambulatory pH monitoring. Among the 48 patients with PEMD, 39 (81%) were taking proton pump inhibitors. Dysphagia was more prevalent in the PEMD group. These data show that (1) 2 of 3 of patients with a manometric picture of NE or DES have GERD and (2) symptoms did not distinguish PEMD from GERD. Esophageal manometry and pH monitoring are essential to distinguish PEMD from GERD and to guide appropriate therapy.

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Section: Symptomsmentioning

confidence: 83%

Primary Versus Secondary Esophageal Motility Disorders: Diagnosis and Implications for Treatment

Herbella

Raz²,

Nipomnick³

et al. 2009

Journal of Laparoendoscopic & Advanced Surgical Techniques

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“…It is assumed that laparoscopic fundoplication will give results at least equal to those of open procedures. Several studies have reported excellent short-term results after laparoscopic antireflux surgery [13][14][15][16][17][18][19][20][21]. Some randomized control trials have published equal shortterm results for the laparoscopic and open approaches [22,26].…”

Section: Discussionmentioning

confidence: 99%

Clinical results of laparoscopic fundoplication at ten years after surgery

et al. 2005

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“…The medical treatment of these patients has inconsistent results in improving esophageal dysmotility [3,4]. In contrast, surgical series suggest that fundoplication improves IEM in GERD [5][6][7]. The main surgical question is the type of fundoplication (partial or full) that is best, as conflicting results are seen in the literature [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Nissen fundoplication is a good option in patients with abnormal esophageal motility

et al. 2009

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Results of laparoscopic antireflux surgery for dysphagia and gastroesophageal reflux disease

Cited by 25 publications

References 10 publications

Primary Versus Secondary Esophageal Motility Disorders: Diagnosis and Implications for Treatment

Primary Versus Secondary Esophageal Motility Disorders: Diagnosis and Implications for Treatment

Clinical results of laparoscopic fundoplication at ten years after surgery

Laparoscopic Nissen fundoplication is a good option in patients with abnormal esophageal motility

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