Zhonghua wai ke za zhi [Chinese journal of surgery] · 1999
[Evaluation of pre- and post-operational esophageal manometric findings with achalasia].
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Chen W, Fang W, Jiang Y, Zhou Y
Аннотация
OBJECTIVE: To evaluate the manometric feature of pre- and post-operation with achalasia and the result of surgical myotomy through abdominal incision.
METHODS: The manometric studies were performed in 23 pre- and 11 post-operational patients, including 11 patients who received both pre- and post-operational studies. 24 hour pH monitoring was performed in 11 after surgical myotomy.
RESULTS: Achalasia, a motor disorder of the esophageal body, and hypertension of the resting LES impaired relaxation. The incidence of reflux was 22.2%.
CONCLUSIONS: Surgical myotomy through abdominal incision is an effective procedure. It is necessary to avoid LES incompetence or reflux esophagitis.
METHODS: The manometric studies were performed in 23 pre- and 11 post-operational patients, including 11 patients who received both pre- and post-operational studies. 24 hour pH monitoring was performed in 11 after surgical myotomy.
RESULTS: Achalasia, a motor disorder of the esophageal body, and hypertension of the resting LES impaired relaxation. The incidence of reflux was 22.2%.
CONCLUSIONS: Surgical myotomy through abdominal incision is an effective procedure. It is necessary to avoid LES incompetence or reflux esophagitis.