Modificaciones manométricas inducidas por la cirugía antirreflujo (Nissen) y su relación con los hallazgos pH-métricos y clínicos. Análisis a los 6 meses de la intervención.

Translated title of the contribution: Manometric changes induced by antireflux surgery (Nissen) and its relation to pH measurement and clinical findings. An analysis 6 months after the intervention

R. Gómez, J. Seoane, D. Moreno, B. Cuenca, M. Hidalgo, A. García, J. C. Palomo, M. Marcello, E. Moreno

Research output: Contribution to journalArticlepeer-review

Abstract

We analyzed the preoperative ambulatory 24 hour ph-metric and manometric characteristics in a group of 20 patients treated surgically for gastroesophageal reflux (PGER) by Nissen fundoplication. At 6 months post-surgery they were reevaluated instrumentally (manometric and 24 hour ph-metry) and clinically. All ph-metric parameters of PGER (total reflux time, clearance, number of episodes, number of episodes greater than 5 minutes duration and duration of longest episode) were significantly improved (p less than 0.01-0.05) post-operatively (as globally as by position supine and upright) and this improvement was associated with resolution of symptoms in 19 (95%) patients. Of the manometric parameters evaluated (lower esophageal sphincter pressure--LESP--and length--LESL, peristaltic, triphasic, biphasic, absent and simultaneous waves and relaxation of LES) surgery only produced improvement in the lower esophageal sphincter pressure (LESP) and length (LESL) (p less than 0.001). We conclude that antireflux surgery (Nissen) by improving the pressure and length of the LES is capable of producing clinical and ph-metric remission in almost all (95%) of patients studied six months after.

Translated title of the contributionManometric changes induced by antireflux surgery (Nissen) and its relation to pH measurement and clinical findings. An analysis 6 months after the intervention
Original languageSpanish
Pages (from-to)1-6
Number of pages6
JournalRevista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva
Volume82
Issue number1
StatePublished - Jul 1 1992

ASJC Scopus subject areas

  • Gastroenterology

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