2006
Intraoperative esophageal manometry during laparoscopic antireflux surgery
PROCHÁZKA, VladimírZákladní údaje
Originální název
Intraoperative esophageal manometry during laparoscopic antireflux surgery
Název anglicky
Intraoperative esophageal manometry during laparoscopic antireflux surgery
Autoři
Vydání
New Haven, Journal of Clinical Gastroenterology, s. 206-206, 2006
Nakladatel
Yale University School of Medicine
Další údaje
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
Klíčová slova anglicky
antireflux surgery; fundoplication; dysphagia; esophageal manometry; prediction
Změněno: 7. 4. 2010 10:43, Hana Půčková
V originále
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.
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
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