Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/71389
Citations | ||
Scopus | Web of Science® | Altmetric |
---|---|---|
?
|
?
|
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Broeders, J. | - |
dc.contributor.author | Sportel, I. | - |
dc.contributor.author | Jamieson, G. | - |
dc.contributor.author | Nijjar, R. | - |
dc.contributor.author | Granchi, N. | - |
dc.contributor.author | Myers, J. | - |
dc.contributor.author | Thompson, S. | - |
dc.date.issued | 2011 | - |
dc.identifier.citation | British Journal of Surgery, 2011; 98(10):1414-1421 | - |
dc.identifier.issn | 0007-1323 | - |
dc.identifier.issn | 1365-2168 | - |
dc.identifier.uri | http://hdl.handle.net/2440/71389 | - |
dc.description.abstract | BACKGROUND: Laparoscopic 360° fundoplication is the most common operation for gastro-oesophageal reflux disease, but is associated with postoperative dysphagia in some patients. Patients with ineffective oesophageal motility may have a higher risk of developing postoperative dysphagia, but this remains unclear. METHODS: From 1991 to 2010, 2040 patients underwent primary laparoscopic fundoplication for gastrooesophageal reflux disease and met the study inclusion criteria; 343 had a 90°, 498 a 180° and 1199 a 360° fundoplication. Primary peristalsis and distal contraction amplitude during oesophageal manometry were determined for 1354 patients. Postoperative dysphagia scores (range 0–45) were recorded at 3 and 12 months, then annually. Oesophageal dilatations and/or reoperations for dysphagia were recorded. RESULTS: Preoperative oesophageal motility did not influence postoperative dysphagia scores, the need for dilatation and/or reoperation up to 6 years. Three-month dysphagia scores were lower after 90° and 180° compared with 360° fundoplication (mean(s.e.m.) 8•0(0•6) and 9•8(0•5) respectively versus 11•9(0•4); P < 0•001 and P = 0•003), but these differences diminished after 6 years of follow-up. The incidence of dilatation and reoperation for dysphagia was lower after 90° (2•6 and 0•6 per cent respectively) and 180° (4•4 and 1•0 per cent) fundoplications than with a 360° wrap (9•8 and 6•8 per cent; both P < 0•001 versus 90° and 180° groups). CONCLUSION: Tailoring the degree of fundoplication according to preoperative oesophageal motility by standard manometric parameters has no long-term impact on postoperative dysphagia. There is, however, a proportionate increase in short-term dysphagia scores with increasing degree of wrap, and a corresponding proportionate increase in dilatations and reoperations for dysphagia. These differences in dysphagia scores diminish with time. | - |
dc.description.statementofresponsibility | J.A. Broeders, I.G. Sportel, G.G. Jamieson, R.S. Nijjar, N. Granchi, J.C. Myers and S.K. Thompson | - |
dc.language.iso | en | - |
dc.publisher | John Wiley & Sons Ltd | - |
dc.rights | Copyright © 2011 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. | - |
dc.source.uri | http://dx.doi.org/10.1002/bjs.7573 | - |
dc.subject | Humans | - |
dc.subject | Esophageal Motility Disorders | - |
dc.subject | Gastroesophageal Reflux | - |
dc.subject | Postoperative Complications | - |
dc.subject | Treatment Failure | - |
dc.subject | Esophagostomy | - |
dc.subject | Fundoplication | - |
dc.subject | Reoperation | - |
dc.subject | Dilatation | - |
dc.subject | Manometry | - |
dc.subject | Adult | - |
dc.subject | Aged | - |
dc.subject | Aged, 80 and over | - |
dc.subject | Middle Aged | - |
dc.subject | Female | - |
dc.subject | Male | - |
dc.subject | Young Adult | - |
dc.subject | Kaplan-Meier Estimate | - |
dc.title | Impact of ineffective oesophageal motility and wrap type on dysphagia after laparoscopic fundoplication | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1002/bjs.7573 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Granchi, N. [0000-0001-7369-6342] | - |
dc.identifier.orcid | Myers, J. [0000-0003-2157-7098] | - |
Appears in Collections: | Aurora harvest 5 Surgery publications |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.