Effect of laparoscopic fundoplication on esophageal motility in patients with gastroesophageal reflux disease

Abstract

The article presents the results of a prospective observational study on the effect of laparoscopic fundoplication on esophageal motility in patients with gastroesophageal reflux disease associated with hiatal hernia. It has been found that in this category of patients, the antireflux intervention significantly leads to an improvement in manometric parameters. This result is primarily due to the restoration of esophageal motility with its preoperative inefficiency in patients with type III hernias. Regarding segmental distal esophageal spasm, the fundoplication demonstrates a multidirectional effect. Surgical treatment may not affect this type of dysmotility in any way, may lead to the motility normalization, or cause the development of a similar variant of hyperkinesis in the postoperative period. When deciding whether to perform laparoscopic fundoplication, the presence of ineffective esophageal motility or distal esophageal spasm in patients is not an absolute contraindication for surgical intervention.