Intraoperative esophageal manometry during laparoscopic antireflux surgery

PROCHÁZKA, Vladimír. Intraoperative esophageal manometry during laparoscopic antireflux surgery. In KALA, Zdeněk, Petr KYSELA a Jiří DOLINA. Journal of Clinical Gastroenterology. New Haven: Yale University School of Medicine, 2006, s. 206. ISSN 0192-0790.

Základní údaje

• Originální název: Intraoperative esophageal manometry during laparoscopic antireflux surgery
• Název anglicky: Intraoperative esophageal manometry during laparoscopic antireflux surgery
• Autoři: PROCHÁZKA, Vladimír.
• Vydání: New Haven, Journal of Clinical Gastroenterology, s. 206-206, 2006.
• Nakladatel: Yale University School of Medicine

Další údaje

• Originální jazyk: čeština
• Typ výsledku: Stať ve sborníku
• Obor: 30200 3.2 Clinical medicine
• Stát vydavatele: Česká republika
• Utajení: není předmětem státního či obchodního tajemství
• Impakt faktor: Impact factor: 2.403
• Organizační jednotka: Lékařská fakulta
• ISSN: 0192-0790
• Klíčová slova anglicky: antireflux surgery; fundoplication; dysphagia; esophageal manometry; prediction
• Štítky: antireflux surgery, dysphagia, esophageal manometry, fundoplication, Prediction

Anotace

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.

Anotace anglicky

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.

Návaznosti

• ND7142, projekt VaV: Název: Možnosti zlepšení výsledků laparoskopické antirefluxní chirurgie peroperačním monitoringem jícnovou manometrií.

Investor: Ministerstvo zdravotnictví ČR, Možnosti zlepšení výsledků laparoskopické antirefluxní chirurgie peroperačním monitoringem jícnovou manometrií