caa a22 4500 475801873 CHVBK 20180406123739.0 cr unu---uuuuu 170329e20000701xx s 000 0 eng 10.1007/s002680010139 doi (NATIONALLICENCE)springer-10.1007/s002680010139 Manometric Comprobation of Esophagogastric Junction Competence after Nissen Fundoplication and Its Relation to the Length of Fundic Wrap [Elektronische Daten] [F. Javier del Pino Porres, Salvador Sancho Fornos, Adolfo Benages Martínez, Francisco Mora] Abstract.: We present 98 patients operated on by two techniques of 360-degree fundoplication due to gastroesopagheal reflux disease and divided in two groups: Group I comprised those who were given a conventional valve 5 cm in length, and group II underwent a short fundoplication that did not surpass 1.5 cm. All were subjected to preoperative esophageal manometry, with determination of the pressure and length of the lower esophageal sphincter (LES) and the motor behavior of the esophageal body. The postoperative manometric results are analyzed, checking that after fundoplication there was a significant increase in tone and length of the LES (p < 0.00005); there were no differences between the two groups (p= 0.9920 and p= 0.2160, respectively). The motor function of the esophageal body did not change after surgery. We conclude that even the smallest length of the fundic wrap does not cause a reduction in the pressure and length of the manometric LES; that is, the antireflux effectiveness, measured by manometry, did not depend on the anterior length of the valvuloplasty. by Société Internionale de Chirurgie, 2000 del Pino Porres F. Javier Department of General and Digestive Surgery, Hospital "La Fe,” University of Valencia, Av. Campaner 21, 46009 Valencia, Spain, ES aut Sancho Fornos Salvador Department of General and Digestive Surgery, Hospital "La Fe,” University of Valencia, Av. Campaner 21, 46009 Valencia, Spain, ES aut Benages Martínez Adolfo Department of Medicine, Hospital Clínico Universitario, Av. Blasco Ibáñez 17, 46010 Valencia, Spain, ES aut Mora Francisco Department of Digestive Motility, Hospital Clinico Universitario, Av. Blasco Ibáñez 17, 46010 Valencia, Spain, ES aut World Journal of Surgery Springer-Verlag 24/7(2000-07-01), 870-873 0364-2313 24:7<870 2000 24 268 https://doi.org/10.1007/s002680010139 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002680010139 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- del Pino Porres F. Javier Department of General and Digestive Surgery, Hospital "La Fe,” University of Valencia, Av. Campaner 21, 46009 Valencia, Spain, ES aut NATIONALLICENCE 700 1- Sancho Fornos Salvador Department of General and Digestive Surgery, Hospital "La Fe,” University of Valencia, Av. Campaner 21, 46009 Valencia, Spain, ES aut NATIONALLICENCE 700 1- Benages Martínez Adolfo Department of Medicine, Hospital Clínico Universitario, Av. Blasco Ibáñez 17, 46010 Valencia, Spain, ES aut NATIONALLICENCE 700 1- Mora Francisco Department of Digestive Motility, Hospital Clinico Universitario, Av. Blasco Ibáñez 17, 46010 Valencia, Spain, ES aut NATIONALLICENCE 773 0- World Journal of Surgery Springer-Verlag 24/7(2000-07-01), 870-873 0364-2313 24:7<870 2000 24 268 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer