Surgery improves defective oesophageal peristalsis in patients with gastro-oesophageal reflux

Author:

Escandell A Ortiz1,De Martinez Haro L F1,Paricio P Parrilla1,Aguayo Albasini J L1,Marcilla J A Garcia1,Morales Cuenca G1

Affiliation:

1. Department of Surgery, Virgen de la Arrixaca Hospital, University of Murcia, Spain

Abstract

Abstract Postoperative manometry was carried out in 12 patients with gastro-oesophageal reflux associated with hypomotility of the oesophageal body. A Nissen fundoplication was carried out in all patients. After a median follow-up of 3.5 years, patients underwent clinical, endoscopic, radiological, manometric and pH-metric evaluation. Manometric results revealed an overall improvement in oesophageal motor function with an increase in the amplitude of deglutition waves and a decrease in the percentage of deglutitions without response. Six of the patients (one with complete motor failure) recovered normal peristaltic function. Non-specific oesophageal motor disorders may be secondary to gastro-oesophageal reflux and are reversible in nature.

Funder

Fondo de Investigaciones sanitarias de la Seguridad Social

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference22 articles.

1. Motility disturbances caused by esophagitis;Olsen;J Thorac Cardiovasc Surg,1965

2. Pressure characteristics of reflux esophagitis;Affolter;Helv Med Acta,1966

3. Does surgery correct esophageal motor dysfunction in gastroesophageal reflux?;Russell;Ann Surg,1981

4. The role of the esophageal body in the antireflux mechanism;Joelsson;Surgery,1982

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