Concurrent fluoroscopy and manometry reveal differences in laparoscopic nissen and anterior fundoplication

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dc.contributor.authorAnderson, J.
dc.contributor.authorMyers, J.
dc.contributor.authorWatson, D.
dc.contributor.authorGabb, M.
dc.contributor.authorMathew, G.
dc.contributor.authorJamieson, G.
dc.date.issued1998
dc.description.abstractA prospective double-blind randomized trial wasinitiated to examine two types of laparoscopicfundoplication (Nissen and anterior). Thirty-twopatients with proven gastroesophageal reflux diseasepresenting for primary laparoscopic antireflux surgerywere randomized to undergo either Nissen fundoplication(N = 13) or anterior hemifundoplication (N = 19).Postoperative fluoroscopic and manometric examinationwas carried out concomitantly. Nissenfundoplication resulted in significantly greaterelevation of resting (33.5 vs 23 mm Hg) and residuallower esophageal sphincter pressures (17 vs 6.5 mm Hg)and lower esophageal ramp pressure (26 vs 20.5 mm Hg) than theanterior partial fundoplication. A smallerradiologically measured sphincter opening diameter wasseen following Nissen fundoplication (9 mm) comparedwith anterior fundoplication (12 mm). Lower esophageal ramppressure correlated weakly (r = 0.37, P = 0.04) withpostoperative dysphagia. It is concluded that the typeof fundoplication performed significantly influences postoperative manometric and video bariumradiology outcomes. The clinical relevance of thisrequires further investigation.
dc.identifier.citationDigestive Diseases and Sciences, 1998; 43(4):847-853
dc.identifier.doi10.1023/A:1018886602752
dc.identifier.issn0163-2116
dc.identifier.issn1573-2568
dc.identifier.orcidMyers, J. [0000-0003-2157-7098]
dc.identifier.urihttp://hdl.handle.net/2440/10123
dc.language.isoen
dc.publisherPLENUM PUBL CORP
dc.source.urihttps://doi.org/10.1023/a:1018886602752
dc.subjectEsophagogastric Junction
dc.subjectHumans
dc.subjectGastroesophageal Reflux
dc.subjectBarium Sulfate
dc.subjectContrast Media
dc.subjectFluoroscopy
dc.subjectLaparoscopy
dc.subjectFundoplication
dc.subjectPostoperative Period
dc.subjectProspective Studies
dc.subjectDouble-Blind Method
dc.subjectManometry
dc.subjectDeglutition
dc.subjectPressure
dc.subjectVideotape Recording
dc.subjectMiddle Aged
dc.subjectFemale
dc.subjectMale
dc.titleConcurrent fluoroscopy and manometry reveal differences in laparoscopic nissen and anterior fundoplication
dc.typeJournal article
pubs.publication-statusPublished

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