PROCHÁZKA, Vladimír. Intraoperative esophageal manometry during laparoscopic antireflux surgery. In KALA, Zdeněk, Petr KYSELA and Jiří DOLINA. Journal of Clinical Gastroenterology. New Haven: Yale University School of Medicine, 2006, p. 206. ISSN 0192-0790.
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Basic information
Original name Intraoperative esophageal manometry during laparoscopic antireflux surgery
Name (in English) Intraoperative esophageal manometry during laparoscopic antireflux surgery
Authors PROCHÁZKA, Vladimír.
Edition New Haven, Journal of Clinical Gastroenterology, p. 206-206, 2006.
Publisher Yale University School of Medicine
Other information
Original language Czech
Type of outcome Proceedings paper
Field of Study 30200 3.2 Clinical medicine
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 2.403
Organization unit Faculty of Medicine
ISSN 0192-0790
Keywords in English antireflux surgery; fundoplication; dysphagia; esophageal manometry; prediction
Tags antireflux surgery, dysphagia, esophageal manometry, fundoplication, Prediction
Changed by Changed by: Hana Půčková, učo 1746. Changed: 7/4/2010 10:43.
Abstract
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.
Abstract (in English)
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.
Links
ND7142, research and development projectName: Možnosti zlepšení výsledků laparoskopické antirefluxní chirurgie peroperačním monitoringem jícnovou manometrií.
Investor: Ministry of Health of the CR, Possibilities of improving the results of laparoscopic antireflux surgery by perioperative monitoring by the means of esophageal manometry
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