التفاصيل البيبلوغرافية
| العنوان: |
Sleeve Gastrectomy with Rossetti Fundoplication Increases Lower Esophageal Sphincter Tone Preventing Gastroesophageal Reflux Disease: High-Resolution Manometry Assessment. |
| المؤلفون: |
Di Capua, Francesco, Cesana, Giovanni Carlo, Uccelli, Matteo, De Carli, Stefano Maria, Giorgi, Riccardo, Ferrari, Davide, Olmi, Stefano |
| المصدر: |
Journal of Laparoendoscopic & Advanced Surgical Techniques; Jan2023, Vol. 33 Issue 1, p44-51, 8p |
| مصطلحات موضوعية: |
ESOPHAGOGASTRIC junction, SLEEVE gastrectomy, GASTROESOPHAGEAL reflux, FUNDOPLICATION, MANOMETERS, MORBID obesity, INDOCYANINE green |
| مستخلص: |
Background: Laparoscopic sleeve gastrectomy (LSG) is associated with the long-term development of gastroesophageal reflux disease (GERD). Recent studies on LSG with fundoplication showed a lower rate of postoperative GERD than LSG alone; however, there is a lack of objective instrumental data in the literature. This study aimed to evaluate whether and how fundoplication associated with Sleeve Gastrectomy affects the esophagogastric physiology. Materials and Methods: This prospective observational study included 20 patients with morbid obesity, GERD, and lower esophageal sphincter (LES) hypotonia. All the patients underwent LSG with Rossetti fundoplication. High-resolution manometry was performed pre- and postoperatively. All the patients completed the 6 months follow-up. Results: The fundoplication increased LES tone in all patients. The increase in the LES tone was statistically significant (330% increase). The integrated relaxation pressure and the distal contractile integral both increased accordingly, indicating an increased esophageal effort to pass through the modified esophagogastric junction. Conclusion: Rossetti fundoplication associated with LSG increased LES tone and decreased the chance of developing long-term GERD after LSG. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
