title: [Impact of esophageal manometry before antireflux surgery].
abstract: 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.
authors.affiliation: Service de Gastro-entérologie, Hôpital Charles Nicolle, Tunis.
authors.forename: Leila
authors.initials: L
authors.lastname: Mouelhi
authors.forename: Bakhta
authors.initials: B
authors.lastname: Ghrib
authors.forename: Jamel
authors.initials: J
authors.lastname: Ben Yedder
authors.forename: Radhouane
authors.initials: R
authors.lastname: Debbeche
authors.forename: Ahmed
authors.initials: A
authors.lastname: Krichene
authors.forename: Mohamed
authors.initials: M
authors.lastname: Salem
authors.forename: Morched
authors.initials: M
authors.lastname: Abdesselem
authors.forename: Abdeljelil
authors.initials: A
authors.lastname: Zaouche
authors.forename: Taoufik
authors.initials: T
authors.lastname: Najjar
mesh_terms: 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