Surgery improves defective oesophageal peristalsis in patients with gastro-oesophageal reflux.
Postoperative manometry was carried out in 12 patients with gastro-oesophageal reflux associated with hypomotility of the oesophageal body. A Nissen fundoplication was carried out in all patients. After a median follow-up of 3.5 years, patients underwent clinical, endoscopic, radiological, manometric and pH-metric evaluation. Manometric results revealed an overall improvement in oesophageal motor function with an increase in the amplitude of deglutition waves and a decrease in the percentage of deglutitions without response. Six of the patients (one with complete motor failure) recovered normal peristaltic function. Non-specific oesophageal motor disorders may be secondary to gastro-oesophageal reflux and are reversible in nature.
Department of Surgery, Virgen de la Arrixaca Hospital, University of Murcia, Spain.
A
A
Ortiz Escandell
L F
LF
Martinez de Haro
P
P
Parrilla Paricio
J L
JL
Aguayo Albasini
J A
JA
Garcia Marcilla
G
G
Morales Cuenca
D000328:Adult; D004943:Esophagogastric Junction / Q000503:physiopathology; D004947:Esophagus / Q000503:physiopathology*; D005260:Female; D005748:Gastric Fundus / Q000601:surgery; D005764:Gastroesophageal Reflux / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008365:Manometry; D008875:Middle Aged; D009046:Motor Neurons / Q000502:physiology; D010528:Peristalsis; D011184:Postoperative Period