One year follow-up results in the surgical treatment of gastroesophageal reflux disease.
Int Surg
; 81(1): 27-31, 1996.
Article
em En
| MEDLINE
| ID: mdl-8803701
ABSTRACT
BACKGROUND:
Gastroesophageal reflux disease (GERD) is a common intestinal disorder. Although fundoplication immediately achieves good results, some problems arise about duration.METHODS:
From 1990 to 1992, thirty-seven patients underwent operation for GERD, the indications for surgery being persistence of reflux symptoms after at least 6 months of medical therapy, esophagitis, manometric evidence of LES incompetence, augmented esophageal exposure to gastric juice documented by 24 hours pH monitoring. Nissen-Rossetti was the technique used; intraoperative calibration was 29.8 mmHg.RESULTS:
Twenty-five patients were studied 12 months after the operation. They were submitted to clinical examination, gastroscopy, manometry, 24 hours pH monitoring. Clinically 2 patients were unable to belch. All of them showed LESP and intra-abdominal HPZ length decreased (32.3% and 13.5% respectively). The factors influencing LESP 12 months after surgery are age and intraoperative calibration. Pressure decrease is related to age and calibration. An older patient will show a smaller decrement, to a higher intraoperative pressure corresponds a higher pressure decrease with time.CONCLUSIONS:
For these reasons we do not recommend hypercalibration especially in the elderly.
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Base de dados:
MEDLINE
Assunto principal:
Esofagite Péptica
/
Refluxo Gastroesofágico
/
Fundoplicatura
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Int Surg
Ano de publicação:
1996
Tipo de documento:
Article