[Impact of esophageal manometry before antireflux surgery].
BACKGROUND
Esophageal hypomotility is frequent in patients with gastroesophageal reflux disease (GERD).


OBJECTIVE
To precise the frequency and the patterns of esophageal manometric abnormalities in GERD patients referred before antireflux surgery, to determine the frequency of post-operative dysphagia and to look for associated factors with high risk of dysphagia, with special interest on pre-operative esophageal manometric study.


METHODS
We conducted a retrospective study based on patients having anti-reflux surgery and pre-operative esophageal manometry. Post-operative dysphagia was prospectively assessed during the follow-up.


RESULTS
We studied 33 patients (mean age: 46 years; sex-ratio: 0.4). Pre-operative esophageal manometry was abnormal in 1/3 of cases, with a high prevalence of non specific motor disorders and hypomotility. Nor epidemiological, clinical or pHmetric factor was associated with the risk of motor esophageal abnormalities. Postoperative dysphagia was noted in 21% of the cases, with any correlation with results of pre-operative manometry.


CONCLUSIONS
Esophageal hypomotility is frequent in patients with GERD; and not associated with a higher risk of post-operative dysphagia after anti-reflux surgery.
Mouelhi
Leila
L
Service de Gastro-entérologie, Hôpital Charles Nicolle, Tunis.
Ghrib
Bakhta
B
Ben Yedder
Jamel
J
Debbeche
Radhouane
R
Krichene
Ahmed
A
Salem
Mohamed
M
Abdesselem
Morched
M
Zaouche
Abdeljelil
A
Najjar
Taoufik
T
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004947:Esophagus / Q000503:physiopathology*; D005260:Female; D005764:Gastroesophageal Reflux / Q000503:physiopathology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008365:Manometry; D008875:Middle Aged; D011300:Preoperative Care; D011446:Prospective Studies; D012189:Retrospective Studies