Může být peroperační manometrie jícnu využita v predikci dysfagie po antirefluxním výkonu?
|Title in English||Could the Preoperative Manometry of the Oesophagus Be Used for Predicion of Dysphagia Following Antireflux Procedures?|
|Year of publication||2005|
|Type||Chapter of a book|
|MU Faculty or unit|
|Description||In this study peroperative measurements of the lower oesophageal sphincter (LES) tone with a concurrent mechanical calibration of the cuff using an oesophageal tube were taken. A complete Nissen-Rossetti cuff was applied in 39 patients. Peroperative increases in the LES tone following the completion of the antireflux cuffs were monitored. The patients continued to be monitored with the aim to detect the onset of dysphagia. In the patient group with the peroperative LES tone increase exceeding 15 mmHg, significantly higher rates of prolonged dysphagia were recorded. In cases of lower LES increases, the ratestof dysphagia were low and good functioning to prevent any pathological reflux was maintained. No complication with respect to the peroperative oesophrageal manometry was recorded. Duration of the antireflux operation conducted the peroperative manometry was prolonged by 4 minutes, on average. Based on the assessment of the data, the authors demonstrate that the LES tone increase on its own, does not provide for the antireflux efect of the fundoplication procedures and the patients cannot benefit from its extremely high values. On the contrary, its high values may indicate possible risks of dysphagia in the postoperative period.|