Document Detail

Oesophageal and cardia function in patients with paraoesophageal hiatus hernia.
MedLine Citation:
PMID:  9278669     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The decision to add an antireflux procedure when a paraoesophageal hernia is repaired is still controversial. The aim of this study was to investigate oesophageal and cardia function in these patients to verify whether fundoplication was needed. METHODS: Eighteen patients with paraoesophageal hernia were evaluated by oesophageal manometry, 24-h pH monitoring, endoscopy and barium swallow. All patients underwent surgery including antireflux fundoplication. Fourteen patients with sliding hernia plus reflux disease and 16 healthy volunteers formed the control groups. RESULTS: Patients with paraoesophageal hernia had a shorter lower oesophageal sphincter and a greater acid exposure than healthy controls (P < 0.05). Fifteen of 18 patients had either abnormal acid exposure and/or a defective lower oesophageal sphincter at manometry. Postfundoplication symptoms were observed in only one of 16 patients at 6 months' follow-up. CONCLUSION: Since 15 of 18 patients had abnormal acid exposure or were considered prone to developing gastro-oesophageal reflux disease because of a defective lower oesophageal sphincter, this study strongly supports the need to add an antireflux operation to hernia repair.
G Zaninotto; M Costantini; M Anselmino; C Boccù; D Molena; P Rigotti; S Merigliano; E Ancona
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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:  84     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  1997 Aug 
Date Detail:
Created Date:  1997-09-22     Completed Date:  1997-09-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1163-7     Citation Subset:  AIM; IM    
Department of Surgery, University of Padua School of Medicine, Padova, Italy.
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MeSH Terms
Cardia / physiopathology
Esophagus / physiopathology
Follow-Up Studies
Gastroesophageal Reflux / physiopathology*,  surgery
Heartburn / etiology,  physiopathology
Hernia, Hiatal / physiopathology*,  surgery
Hydrogen-Ion Concentration
Middle Aged
Peristalsis / physiology
Treatment Outcome

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

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