caa a22 4500 477036074 CHVBK 20180405111305.0 cr unu---uuuuu 170330e19961001xx s 000 0 eng 10.1007/s002689900146 doi (NATIONALLICENCE)springer-10.1007/s002689900146 Intraoperative Manometry during Laparoscopic Operation for Esophageal Achalasia: Does Pneumoperitoneum Affect Manometry? [Elektronische Daten] [Wataru Kamiike, Eiji Taniguchi, Kazuhiro Iwase, Toshinori Ito, Riichirou Nezu, Toshirou Nishida, Masahiro Inoue, Shuichi Ohashi, Hikaru Matsuda] Abstract. The effects of pneumoperitoneum on the lower esophageal sphincter (LES) were evaluated during laparoscopic operation for esophageal achalasia. Intraoperative manometry was performed in three patients who underwent laparoscopic cardiomyectomy with Dor's fundoplication and five patients who underwent laparoscopic cholecystectomy (LC). The LES pressure and the length of the high-pressure zone (HPZ) did not change during pneumoperitoneum in either the achalasia and the LC group. In the achalasia group the LES pressure was sufficiently decreased following completion of cardiomyectomy, and the length of the HPZ was found to be sufficiently long after completion of fundoplication. The postoperative courses of the achalasia patients were uneventful, and they have had no symptoms of achalasia or gastroesophageal reflux since the operation. Accordingly, intraoperative manometry during 12 mmHg pneumoperitoneum was considered to be available for laparoscopic surgery for esophageal achalasia.: 1996 by the Société Internationale de Chir, ugie Kamiike Wataru First Department of Surgery, Osaka University Medical School, 2-2 Yamada-Oka, Suita 565, Japan, JP aut Taniguchi Eiji First Department of Surgery, Osaka University Medical School, 2-2 Yamada-Oka, Suita 565, Japan, JP aut Iwase Kazuhiro First Department of Surgery, Osaka University Medical School, 2-2 Yamada-Oka, Suita 565, Japan, JP aut Ito Toshinori First Department of Surgery, Osaka University Medical School, 2-2 Yamada-Oka, Suita 565, Japan, JP aut Nezu Riichirou First Department of Surgery, Osaka University Medical School, 2-2 Yamada-Oka, Suita 565, Japan, JP aut Nishida Toshirou First Department of Surgery, Osaka University Medical School, 2-2 Yamada-Oka, Suita 565, Japan, JP aut Inoue Masahiro Department of Pediatric Surgery, Osaka University Medical School, 2-2 Yamada-Oka, Suita 565, Japan, JP aut Ohashi Shuichi First Department of Surgery, Osaka University Medical School, 2-2 Yamada-Oka, Suita 565, Japan, JP aut Matsuda Hikaru First Department of Surgery, Osaka University Medical School, 2-2 Yamada-Oka, Suita 565, Japan, JP aut https://doi.org/10.1007/s002689900146 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689900146 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kamiike Wataru First Department of Surgery, Osaka University Medical School, 2-2 Yamada-Oka, Suita 565, Japan, JP aut NATIONALLICENCE 700 1- Taniguchi Eiji First Department of Surgery, Osaka University Medical School, 2-2 Yamada-Oka, Suita 565, Japan, JP aut NATIONALLICENCE 700 1- Iwase Kazuhiro First Department of Surgery, Osaka University Medical School, 2-2 Yamada-Oka, Suita 565, Japan, JP aut NATIONALLICENCE 700 1- Ito Toshinori First Department of Surgery, Osaka University Medical School, 2-2 Yamada-Oka, Suita 565, Japan, JP aut NATIONALLICENCE 700 1- Nezu Riichirou First Department of Surgery, Osaka University Medical School, 2-2 Yamada-Oka, Suita 565, Japan, JP aut NATIONALLICENCE 700 1- Nishida Toshirou First Department of Surgery, Osaka University Medical School, 2-2 Yamada-Oka, Suita 565, Japan, JP aut NATIONALLICENCE 700 1- Inoue Masahiro Department of Pediatric Surgery, Osaka University Medical School, 2-2 Yamada-Oka, Suita 565, Japan, JP aut NATIONALLICENCE 700 1- Ohashi Shuichi First Department of Surgery, Osaka University Medical School, 2-2 Yamada-Oka, Suita 565, Japan, JP aut NATIONALLICENCE 700 1- Matsuda Hikaru First Department of Surgery, Osaka University Medical School, 2-2 Yamada-Oka, Suita 565, Japan, JP aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer