Vargas ÁAL, Cervantes TME, Hernández GME, Palacio VAF, Castro MA, Ayala AM, Melchor ME

Language: Spanish
References: 5
Page: 39-44
PDF size: 696.54 Kb.

ABSTRACT

Patients who are studying with gastro esophageal reflux disease often by manometry (32%) are enrolled with disorders of the nonspecific esophageal motility; a situation that sometimes influences the decision of the surgeon to not perform the surgery. How these disorders are caused by the same gastro esophageal reflux disease? This research paper documents with manometries if these disorders are referred to the make the fundoplication.
Objective: To assess the incidence in patients who underwent fundoplication in Regional Hospital General Ignacio Zaragoza ISSSTE of 1 January 2007 to September 31 of 2010, who are studying with problems of the nonspecific esophageal motility from prior to the fundoplication, linking if the surgical procedure helped to eliminate or exacerbate these changes and how long after surgery , these changes occur.
Method: We studied patients subjected to Nissen fundoplication , that by manometry prior had nonspecific changes in motility of the esophagus; they underwent periodic manometries at 3, 6, 9 and twelve months, investigating if there is correction or persistence of these disorders after surgery.
Results: after 12 months after the surgery to the 74.4 % of the patients were removed from the disorders in the nonspecific esophageal motility documenting through manometries, we confirm what the medical literature mentions: the patient who responds favorably to the administration of medications is the Best candidate for the surgery because the decrease the same reflux changes could avoid irreversible damage.

REFERENCES

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