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@inproceedings{697347, author = {Procházka, Vladimír and Kala, Zdeněk and Kysela, Petr and Dolina, Jiří}, address = {New Haven}, booktitle = {Journal of Clinical Gastroenterology}, keywords = {antireflux surgery; fundoplication; dysphagia; esophageal manometry; prediction}, language = {cze}, location = {New Haven}, pages = {206-206}, publisher = {Yale University School of Medicine}, title = {Intraoperative esophageal manometry during laparoscopic antireflux surgery}, year = {2006} }
TY - JOUR ID - 697347 AU - Procházka, Vladimír - Kala, Zdeněk - Kysela, Petr - Dolina, Jiří PY - 2006 TI - Intraoperative esophageal manometry during laparoscopic antireflux surgery PB - Yale University School of Medicine CY - New Haven KW - antireflux surgery KW - fundoplication KW - dysphagia KW - esophageal manometry KW - prediction N2 - We estimated the ideal intra-operative LESp increase to lie between 8 mm Hg and 20 mm Hg.Rearrangement of the study group patients into 3 subgroups was performed (A: LESp increase under 7,5 mmHg; B: LESp increase between 7,6-14,9 mmHg; C: LESp above 15 mmHg). There were not significant differences in the efficacy of antireflux surgery among the subgroups. There was a significant difference in the incidence of the persistent dysphagia between the subgroup C and the other two subgroups (p = 0,023 for the group A, p = 0,18 for the group B respectively) and A+B together (p=0,021). The highest risk of the persistent dysphagia was revealed in the subgroup C with the intraoperative LESp increase above 15mm Hg ( p = 0,001). The risk of the persistent post-operative dysphagia increased non-linearly with the LESp increase reaching its highest and stable value at 15mm Hg. The confidence intervals of this curve were too wide to make this functional dependence reliable. ER -
PROCHÁZKA, Vladimír. Intraoperative esophageal manometry during laparoscopic antireflux surgery. In KALA, Zdeněk, Petr KYSELA a Jiří DOLINA. \textit{Journal of Clinical Gastroenterology}. New Haven: Yale University School of Medicine, 2006, s.~206. ISSN~0192-0790.
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