ANTIREFLUX MECHANISM OF NISSEN FUNDOPLICATION - A MANOMETRIC STUDY

被引:14
作者
DEHARO, LM [1 ]
PARICIO, PP [1 ]
ESCANDELL, MAO [1 ]
CUENCA, GM [1 ]
TRONCOSO, DV [1 ]
TEBAR, JC [1 ]
PELEGRIN, VG [1 ]
机构
[1] VIRGEN ARRIXACA UNIV HOSP, DEPT SURG, MURCIA, SPAIN
关键词
ESOPHAGEAL MOTILITY; GASTROESOPHAGEAL REFLUX; NISSEN FUNDOPLICATION;
D O I
10.3109/00365529209000098
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
To analyze the mechanisms by which Nissen fundoplication controls gastroesophageal reflux, the pre- and post-operative manometric findings in 34 patients were compared. The postoperative assessment showed an increase in both the infradiaphragmatic length and basal pressure of the lower esophageal sphincter and a notable improvement in esophageal motility (increase in the amplitude of the waves and decrease in the mean percentage of deglutitions without response and tertiary waves) in those who preoperatively presented with defective esophageal peristalsis.
引用
收藏
页码:417 / 420
页数:4
相关论文
共 27 条
[1]   LOWER ESOPHAGEAL SPHINCTER PRESSURE AS AN INDEX OF GASTRO-ESOPHAGEAL ACID REFLUX [J].
AHTARIDIS, G ;
SNAPE, WJ ;
COHEN, S .
DIGESTIVE DISEASES AND SCIENCES, 1981, 26 (11) :993-998
[2]   ESOPHAGEAL FUNCTION BEFORE, DURING, AND AFTER HEALING OF EROSIVE ESOPHAGITIS [J].
BALDI, F ;
FERRARINI, F ;
LONGANESI, A ;
ANGELONI, M ;
RAGAZZINI, M ;
MIGLIOLI, M ;
BARBARA, L .
GUT, 1988, 29 (02) :157-160
[3]   THE LOWER ESOPHAGEAL SPHINCTER AFTER FLOPPY NISSEN FUNDOPLICATION [J].
BANCEWICZ, J ;
MUGHAL, M ;
MARPLES, M .
BRITISH JOURNAL OF SURGERY, 1987, 74 (03) :162-164
[4]   GASTROESOPHAGEAL REFLUX - DIAGNOSIS AND TREATMENT [J].
BATTLE, WS ;
NYHUS, LM ;
BOMBECK, CT .
ANNALS OF SURGERY, 1973, 177 (05) :560-565
[5]   THE ROLE OF THE LOWER ESOPHAGEAL SPHINCTER IN REFLUX PREVENTION [J].
BEHAR, J .
JOURNAL OF CLINICAL GASTROENTEROLOGY, 1986, 8 :2-4
[6]  
COHEN S, 1970, GASTROENTEROLOGY, V58, P937
[7]  
DEMEESTER TR, 1974, ANN SURG, V180, P511
[8]   CLINICAL AND INVITRO ANALYSIS OF DETERMINANTS OF GASTROESOPHAGEAL COMPETENCE - STUDY OF THE PRINCIPLES OF ANTIREFLUX SURGERY [J].
DEMEESTER, TR ;
WERNLY, JA ;
BRYANT, GH ;
LITTLE, AG ;
SKINNER, DB .
AMERICAN JOURNAL OF SURGERY, 1979, 137 (01) :39-46
[9]   NISSEN FUNDOPLICATION FOR GASTROESOPHAGEAL REFLUX DISEASE - EVALUATION OF PRIMARY REPAIR IN 100 CONSECUTIVE PATIENTS [J].
DEMEESTER, TR ;
BONAVINA, L ;
ALBERTUCCI, M .
ANNALS OF SURGERY, 1986, 204 (01) :9-20
[10]  
DEMEESTER TR, 1986, SURGICAL TREATMENT D