Intraoperační manometrie dolního jícnového svěrače u kalibrované laparoskopické antirefluxní chirurgie - předběžné výsledky

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Title in English	Intraoperative manometry of the lower oesophageal sphincter pressure during the laparoscopic antireflux surgery with mechanical calibration-early results.
Authors	KALA Zdeněk DOLINA Jiří KYSELA Petr PROCHÁZKA Vladimír IZAKOVIČOVÁ HOLLÁ Lydie KROUPA Radek
Year of publication	2005
Type	Article in Periodical
Magazine / Source	Česká a slovenská gastroenterologie a hepatologie
MU Faculty or unit	Faculty of Informatics
Citation
Field	Surgery incl. transplantology
Keywords	gastro-oesophageal reflux disease; fundoplication; laparoscopy; manometry; dysphagia
Description	A higher incidence of prolonged post-operative dysphagia was revealed in patients with a higher intraoperative increase of the LESp (more than 15 mm Hg). This complication was not found in patients with the increase smaller than 8 mm Hg with no impact on efficacy of the surgery. Moreover, the intraoperative LESp measurement did not significantly prolong the duration of the surgery. The main factors influencing the intra-operative increase of LESp included the surgical preparation in the region of the hiatus and gastroesophageal junction and the very construction of the wrap.
Related projects:	Possibilities of improving the results of laparoscopic antireflux surgery by perioperative monitoring by the means of esophageal manometry