Journal of Minimal Access Surgery

ORIGINAL ARTICLE
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Year : 2010  |  Volume : 6  |  Issue : 3  |  Page : 66--69

Is oesophageal manometry a must before laparoscopic fundoplication? Analysis of 46 consecutive patients treated without preoperative manometry

Anish P Nagpal, Harshad Soni, Sanjiv Haribhakti 
 Department of Surgical Gastroenterology, Haribhakti Surgical Hospital, Ahmedabad, India

Correspondence Address:
Anish P Nagpal
Haribhakti Surgical Hospital, 508, Sangita Complex, Opp. Doctor House, Near. Parimal Crossing, Ahmedabad - 380 006, Gujarat
India

Aims: To evaluate retrospectively the outcome of laparoscopic fundoplication in a cohort of patients with typical symptoms of gastroesophageal reflux disease (GERD). Materials and Methods: Forty-six patients with typical symptoms of GERD, from March 2001 to November 2009, were studied. The study was limited to patients with positive findings on upper GI endoscopy done by ourselves and «DQ»typical«DQ» symptoms (heartburn, regurgitation, and dysphagia) of GERD. Laparoscopic Nissen«SQ»s fundoplication was performed when clinical assessment suggested adequate oesophageal motility and length. Only 1 patient, who had negative endoscopic findings, underwent a 24-hour pH-monitoring before surgery. Outcome measures included assessment of the relief of the primary symptom responsible for surgery in the early postoperative period; the patient«SQ»s evaluation of outcome and quality of life after surgery. Results: Relief of the primary symptom responsible for surgery was achieved in 85% of patients at a mean follow-up of 28 months. Thirty-nine patients were asymptomatic, 2 had minor gastrointestinal symptoms not requiring medical therapy, 3 patients had gastrointestinal symptoms requiring medical therapy/ Proton Pump Inhibitors and in 2 patients the symptoms worsened after surgery. There were no deaths. Clinically significant complications occurred in 6 patients. Median hospital stay was 3 days, decreasing from 6 in the first 10 patients to 3 in the last 10 patients. Conclusions: Preoperative oesophageal manometry is not mandatory for laparoscopic fundoplication done in selected patients with typical symptoms of GERD and upper GI endoscopy suggestive of large hiatus hernia.


How to cite this article:
Nagpal AP, Soni H, Haribhakti S. Is oesophageal manometry a must before laparoscopic fundoplication? Analysis of 46 consecutive patients treated without preoperative manometry.J Min Access Surg 2010;6:66-69


How to cite this URL:
Nagpal AP, Soni H, Haribhakti S. Is oesophageal manometry a must before laparoscopic fundoplication? Analysis of 46 consecutive patients treated without preoperative manometry. J Min Access Surg [serial online] 2010 [cited 2021 Jan 24 ];6:66-69
Available from: https://www.journalofmas.com/article.asp?issn=0972-9941;year=2010;volume=6;issue=3;spage=66;epage=69;aulast=Nagpal;type=0