[Is there a characteristic constellation of findings in esophageal functional diagnosis after antireflux operations?].
The significance of the finding esophagitis (grade I) in 23 patients was evaluated by manometry, measurement of pH and acid clearance test 18 months after the antireflux procedure (Lortat-Jacob). The provocation of pathological reflux was impossible (reflux provocation test). The acid clearance test demonstrated a low grade delay of the emptying rate. From these results it is supposed that the antiflux procedure only produces a pressure barrier but not a digestive sphincter. According to the pressure barrier in the functional analysis of the esophagus, three typical findings appeared: esophagitis (grade I), normal pH-monitoring, and delayed acid clearance.
D001706:Biopsy; D004942:Esophagitis, Peptic / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D004945:Esophagoscopy; D004947:Esophagus / Q000503:physiopathology*; D006551:Hernia, Hiatal / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D006863:Hydrogen-Ion Concentration; D008365:Manometry; D011184:Postoperative Period
Gibt es eine charakteristische Befundkonstellation in der Oesophagusfunktionsdiagnostik nach refluxverhütenden Operationen?