Abstract
Impaired esophageal body motility is a complication of chronic gastroesophageal reflux disease (GERD). In patients with this disease, a 360-degree fundoplication may result in severe postoperative dysphagia. Forty-six patients with GERD who had a weak lower esophageal sphincter pressure and a positive acid reflux score associated with impaired esophageal body peristalsis in the distal esophagus (amplitude 10% simultaneous or interrupted waves) were selected to undergo laparoscopic Toupet fundoplication. They were compared with 16 similar patients with poor esophageal body function who underwent Nissen fundoplication. The patients who underwent Toupet fundoplication had less dysphagia than those who had the Nissen procedure (9% vs. 44%; P = 0.0041). Twenty-four-hour ambulatory pH monitoring and esophageal manometry were repeated in 31 Toupet patients 6 months after surgery. Percentage of time of esophageal exposure to pH
| Original language | English |
|---|---|
| Pages (from-to) | 301-308 |
| Number of pages | 8 |
| Journal | Journal of Gastrointestinal Surgery |
| Volume | 1 |
| Issue number | 4 |
| State | Published - Jul 1997 |
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All Science Journal Classification (ASJC) codes
- Surgery
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Laparoscopic Toupet Fundoplication for Gastroesophageal Reflux Disease with Poor Esophageal Body Motility. / Lund, Richard J.; Wetcher, Gerold J.; Raiser, Frank; Glaser, Karl; Perdikis, Galen; Gadenstätter, Michael; Katada, Natsuya; Filipi, Charles; Hinder, Ronald A.
In: Journal of Gastrointestinal Surgery, Vol. 1, No. 4, 07.1997, p. 301-308.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Laparoscopic Toupet Fundoplication for Gastroesophageal Reflux Disease with Poor Esophageal Body Motility
AU - Lund, Richard J.
AU - Wetcher, Gerold J.
AU - Raiser, Frank
AU - Glaser, Karl
AU - Perdikis, Galen
AU - Gadenstätter, Michael
AU - Katada, Natsuya
AU - Filipi, Charles
AU - Hinder, Ronald A.
PY - 1997/7
Y1 - 1997/7
N2 - Impaired esophageal body motility is a complication of chronic gastroesophageal reflux disease (GERD). In patients with this disease, a 360-degree fundoplication may result in severe postoperative dysphagia. Forty-six patients with GERD who had a weak lower esophageal sphincter pressure and a positive acid reflux score associated with impaired esophageal body peristalsis in the distal esophagus (amplitude 10% simultaneous or interrupted waves) were selected to undergo laparoscopic Toupet fundoplication. They were compared with 16 similar patients with poor esophageal body function who underwent Nissen fundoplication. The patients who underwent Toupet fundoplication had less dysphagia than those who had the Nissen procedure (9% vs. 44%; P = 0.0041). Twenty-four-hour ambulatory pH monitoring and esophageal manometry were repeated in 31 Toupet patients 6 months after surgery. Percentage of time of esophageal exposure to pH
AB - Impaired esophageal body motility is a complication of chronic gastroesophageal reflux disease (GERD). In patients with this disease, a 360-degree fundoplication may result in severe postoperative dysphagia. Forty-six patients with GERD who had a weak lower esophageal sphincter pressure and a positive acid reflux score associated with impaired esophageal body peristalsis in the distal esophagus (amplitude 10% simultaneous or interrupted waves) were selected to undergo laparoscopic Toupet fundoplication. They were compared with 16 similar patients with poor esophageal body function who underwent Nissen fundoplication. The patients who underwent Toupet fundoplication had less dysphagia than those who had the Nissen procedure (9% vs. 44%; P = 0.0041). Twenty-four-hour ambulatory pH monitoring and esophageal manometry were repeated in 31 Toupet patients 6 months after surgery. Percentage of time of esophageal exposure to pH
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UR - http://www.scopus.com/inward/citedby.url?scp=0000986256&partnerID=8YFLogxK
M3 - Article
VL - 1
SP - 301
EP - 308
JO - Journal of Gastrointestinal Surgery
JF - Journal of Gastrointestinal Surgery
SN - 1091-255X
IS - 4
ER -