[Evaluation of pre- and post-operational esophageal manometric findings with achalasia].
OBJECTIVE
To evaluate the manometric feature of pre- and post-operation with achalasia and the result of surgical myotomy through abdominal incision.


METHODS
The manometric studies were performed in 23 pre- and 11 post-operational patients, including 11 patients who received both pre- and post-operational studies. 24 hour pH monitoring was performed in 11 after surgical myotomy.


RESULTS
Achalasia, a motor disorder of the esophageal body, and hypertension of the resting LES impaired relaxation. The incidence of reflux was 22.2%.


CONCLUSIONS
Surgical myotomy through abdominal incision is an effective procedure. It is necessary to avoid LES incompetence or reflux esophagitis.
Chen
W
W
Department of Thoracic Surgery, Shanghai Chest Hospital, Shanghai 200030.
Fang
W
W
Jiang
Y
Y
Zhou
Y
Y
D000328:Adult; D002299:Cardia / Q000601:surgery*; D004931:Esophageal Achalasia / Q000503:physiopathology* / Q000601:surgery; D050782:Esophageal pH Monitoring; D004947:Esophagus / Q000503:physiopathology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008365:Manometry; D008875:Middle Aged; D018670:Monitoring, Ambulatory; D016896:Treatment Outcome