ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2012
High-resolution manometry patterns of lower esophageal sphincter complex in symptomatic post-fundoplication patients.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Diagnostic Accuracy of High-Resolution Manometry for Assessing Fundoplication Integrity: Validation of the Padova Classification.Neurogastroenterology and motility · 2026Article
- Manometric identikit of a functioning and effective fundoplication for gastroesophageal reflux disease in the high-resolution manometry ERA.United European gastroenterology journal · 2024Article
- Intraoesophageal pressure in patients receiving proximal gastrectomy with hinged double flap method for gastric cancer: a retrospective cohort study.Annals of medicine and surgery (2012) · 2024Article
- Proceedings of the 2018 Advances In Motility and In NeuroGastroenterology: AIMING for the Future Single Topic Symposium.Journal of pediatric gastroenterology and nutrition · 2020Article
- Markedly Effective Steroid Treatment of Three Patients with Allergy-related Jackhammer Esophagus.Internal medicine (Tokyo, Japan) · 2020Article
- Gastrointestinal Dysmotility and the Implications for Respiratory Disease.Current treatment options in pediatrics · 2019Article
- A study of dysphagia symptoms and esophageal body function in children undergoing anti-reflux surgery.United European gastroenterology journal · 2018Article
- An ANMS-NASPGHAN consensus document on esophageal and antroduodenal manometry in children.Neurogastroenterology and motility · 2018Review
- Endoscopic Evaluation of Post-Fundoplication Anatomy.Current gastroenterology reports · 2017Review
- High-resolution Manometry in Patients with Gastroesophageal Reflux Disease Before and After Fundoplication.Journal of neurogastroenterology and motility · 2017Article
- Chicago Classification of Esophageal Motility Disorders: Applications and Limits in Adults and Pediatric Patients with Esophageal Symptoms.Current gastroenterology reports · 2016Review
- Backflow prevention mechanism of laparoscopic Toupet fundoplication using high-resolution manometry.Surgical endoscopy · 2016Article
- A proposed classification for uniform endoscopic description of surgical fundoplication.Surgical endoscopy · 2014Article
- Treatment implications of high-resolution manometry findings: options for patients with esophageal dysmotility.Current treatment options in gastroenterology · 2014Article
- High-resolution Manometry: Esophageal Disorders Not Addressed by the "Chicago Classification".Journal of neurogastroenterology and motility · 2012Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThere has been an increase in the number of patients seeking treatment after an anti-reflux surgical procedure. The objective of this study is to describe high-resolution manometry (HRM) topography as it relates to the post-fundoplication anatomy.
methodsRetrospective review of a prospectively maintained database was conducted to identify patients who underwent esophagogastroduodenoscopy and HRM at Creighton University Medical Center (CUMC) between November 2008 and October 2010, for symptoms after a previous fundoplication. Patients were categorized as having intact, intrathoracic, disruptured, twisted, or slipped fundoplication based on endoscopic findings.
resultsSixty-one patients {intact, 17(28%), disrupted, 2(3%), twisted, 3(5%), intra-thoracic, 18(30%), slipped, 21(34%)} are included in this study. A double high-pressure zone (HPZ) configuration was identified in both intra-thoracic and slipped fundoplication. This was not noted in appropriately positioned fundoplications. In intra-thoracic fundoplications, the HPZ below the fundoplication was lower pressure and showed respiratory variations. In slipped fundoplication, the higher HPZ had lower pressure and no respiratory variations. In appropriately positioned fundoplication, the lower esophageal sphincter (LES) pressure and extent of relaxation in the single HPZ correlated with intact (normal pressure and good relaxation), disrupted (low pressure and good relaxation), and twisted (high pressure with incomplete relaxation) fundoplication. Patients with only a recurrent para-esophageal hernia had characteristics of an appropriately positioned fundoplication.
conclusionLES complex HRM findings correlate well with anatomical status of the fundoplication.
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