Document Detail


Efficacy of anterior, posterior and total fundoplication in an experimental model.
MedLine Citation:
PMID:  9692585     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: This study examined the effect of different types of laparoscopic fundoplication on an incompetent lower oesophageal sphincter to test their effectiveness at preventing gastro-oesophageal reflux in the early postoperative period. METHODS: An experimental porcine model was used. Initial oesophageal myotomy ensured an incompetent lower oesophageal sphincter with free reflux of 'intragastric fluid'. Anterior, posterior or total fundoplication was then performed laparoscopically in 15 laboratory pigs (five in each group). Fundoplication competence and efficacy were determined 2 weeks after laparoscopic antireflux surgery by inflating the stomach with liquid through a gastrostomy cannula. Some animals were also studied at 4 and 6 weeks. Lower oesophageal sphincter pressure was determined using a water-perfused oesophageal manometry catheter incorporating a Dent sleeve. RESULTS: All three types of fundoplication produced similar increases in postoperative resting lower oesophageal sphincter pressure and restored adequate competence to the gastro-oesophageal junction. CONCLUSION: All three variants of laparoscopic fundoplication restore gastro-oesophageal competence in the early postoperative period.
Authors:
D I Watson; G Mathew; G K Pike; R J Baigrie; G G Jamieson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The British journal of surgery     Volume:  85     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  1998 Jul 
Date Detail:
Created Date:  1998-08-25     Completed Date:  1998-08-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1006-9     Citation Subset:  AIM; IM    
Affiliation:
University Department of Surgery, Royal Adelaide Hospital, South Australia, Australia.
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MeSH Terms
Descriptor/Qualifier:
Animals
Fundoplication / methods*
Gastroesophageal Reflux / physiopathology,  prevention & control,  surgery*
Laparoscopy / methods
Pressure
Swine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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