Preoperative oesophageal motor activity does not predict postoperative dysphagia.
Eur J Surg
; 167(6): 433-7, 2001 Jun.
Article
in En
| MEDLINE
| ID: mdl-11471667
ABSTRACT
OBJECTIVE:
To evaluate the ability of preoperative manometric examinations to predict temporary or permanent dysphagia after antireflux procedures.DESIGN:
Retrospective study.SETTING:
Teaching hospital, Sweden.SUBJECTS:
191 patients who had partial fundoplication.INTERVENTIONS:
Stationary manometry with a perfused catheter system. MAIN OUTCOMEMEASURES:
Correlation between preoperative manometric examinations and the incidence of dysphagia before and after operation.RESULTS:
98 of 191 patients had dysphagia preoperatively (51%), but 52 of the 98 had no stricture or motor disorder to explain it; 25 of 59 patients with motor disorders shown manometrically (42%) did not complain of dysphagia. The number of patients with dysphagia was reduced to 43 postoperatively. 8 who did not complain of dysphagia preoperatively did so postoperatively; 4 of 8 had defective peristalsis and 4 had normal preoperative tracings.CONCLUSIONS:
Manometric examination does not help us to understand the mechanism of preoperative dysphagia, nor does it predict who will develop dysphagia postoperatively.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Postoperative Complications
/
Deglutition Disorders
/
Fundoplication
/
Esophagus
Type of study:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Eur J Surg
Year:
2001
Document type:
Article
Affiliation country:
Suecia