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Current role of esophageal function studies

J D Cooper1

  • 1Department of Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA.

Seminars in Thoracic and Cardiovascular Surgery
|April 1, 1997
PubMed
Summary
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Laparoscopic anti-reflux surgery is increasing, necessitating thorough symptom evaluation for successful outcomes. Accurate diagnosis involves clinical assessment and objective measurements to manage esophageal disorders effectively.

Area of Science:

  • Gastroenterology
  • Surgical Innovation

Background:

  • Laparoscopic anti-reflux surgery has increased procedure volume.
  • The criteria for performing anti-reflux surgery have become less stringent.
  • Thorough pre-operative evaluation is crucial for successful surgical outcomes.

Purpose of the Study:

  • To emphasize the importance of appropriate symptom evaluation before anti-reflux surgery.
  • To highlight diagnostic methods for gastroesophageal reflux disease (GERD).

Main Methods:

  • Clinical assessment including patient history.
  • Radiographic assessment by expert radiologists.
  • Endoscopic evaluation by experienced endoscopists.
  • Objective measurements: esophageal manometry, acid perfusion studies, 24-hour esophageal pH monitoring.

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Main Results:

  • Clinical assessment, expert imaging, and endoscopy are vital for diagnosis.
  • Objective measurements aid in diagnosing functional esophageal disorders.
  • Appropriate evaluation correlates with higher clinical success rates post-surgery.

Conclusions:

  • Accurate diagnosis of gastroesophageal reflux is essential for successful anti-reflux surgery.
  • A combination of clinical and objective testing is required for comprehensive evaluation.
  • Management of functional esophageal disorders is critical for patient outcomes.