LAPAROSCOPIC PARTIAL FUNDOPLICATION FOR GASTROESOPHAGEAL REFLUX DISEASE (GERD) WITH IMPAIRED ESOPHAGEAL MOTILITY
Aly Nowara, H., El Serafy, M. (2001). LAPAROSCOPIC PARTIAL FUNDOPLICATION FOR GASTROESOPHAGEAL REFLUX DISEASE (GERD) WITH IMPAIRED ESOPHAGEAL MOTILITY. EKB Journal Management System, 20(4), 796-801. doi: 10.21608/ejsur.2001.375858
Hany Aly Nowara; Magdy El Serafy. "LAPAROSCOPIC PARTIAL FUNDOPLICATION FOR GASTROESOPHAGEAL REFLUX DISEASE (GERD) WITH IMPAIRED ESOPHAGEAL MOTILITY". EKB Journal Management System, 20, 4, 2001, 796-801. doi: 10.21608/ejsur.2001.375858
Aly Nowara, H., El Serafy, M. (2001). 'LAPAROSCOPIC PARTIAL FUNDOPLICATION FOR GASTROESOPHAGEAL REFLUX DISEASE (GERD) WITH IMPAIRED ESOPHAGEAL MOTILITY', EKB Journal Management System, 20(4), pp. 796-801. doi: 10.21608/ejsur.2001.375858
Aly Nowara, H., El Serafy, M. LAPAROSCOPIC PARTIAL FUNDOPLICATION FOR GASTROESOPHAGEAL REFLUX DISEASE (GERD) WITH IMPAIRED ESOPHAGEAL MOTILITY. EKB Journal Management System, 2001; 20(4): 796-801. doi: 10.21608/ejsur.2001.375858

LAPAROSCOPIC PARTIAL FUNDOPLICATION FOR GASTROESOPHAGEAL REFLUX DISEASE (GERD) WITH IMPAIRED ESOPHAGEAL MOTILITY

The Egyptian Journal of Surgery
Article 12, Volume 20, Issue 4, October 2001, Page 796-801  XML PDF (424.26 K)
Document Type: Original Article
DOI: 10.21608/ejsur.2001.375858
View on SCiNiTO View on SCiNiTO
Authors
Hany Aly Nowara* 1; Magdy El Serafy2
1Assistant professor of Surgery, Cairo University
2Assistant professor of Tropical medicine, Cairo University.
Abstract
Background: Gastroesophageal reflux disease (GERD) is frequently associated with impaired esophageal peristalsis, 
and many authorities consider this condition not suitable for Nissen fundoplication. 
Methods: To investigate the outcome of antireflux surgery in the presence of impaired esophageal peristalsis, 33 GERD 
patients with poor esophageal contractility underwent laparoscopic partial fundoplication. Upper gastrointestinal 
endoscopy, esophageal manometry, and 24-hour pH monitoring were performed preoperatively. 
Results: After antireflux surgery, 30 patients (93%) were free of heartburn, regurgitation and bloating and had no 
esophagitis on endoscopy. Twenty-eight patients (86%) were completely free of symptoms. The rate of dysphagia decreased from 44% preoperatively to 9% postoperatively (P < .001). The median DeMeester score on 24-hour esophageal pH monitoring decreased from 34.5 to 1.15 (P < .001). 
Conclusions: Esophageal motility is the main determining factor to determine the extent of wrap in fundoplication. 
Partial posterior fundoplication provides an effective antireflux barrier in patients with impaired esophageal body motility. 
Postoperative dysphagia is diminished, probably because of improved esophageal body function. 
Keywords
Reflux disease; laparoscopic; partial wrap; Nissen; esophageal motility; esophagitis
Statistics
Article View: 81
PDF Download: 29