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[Evaluation of esophageal motility after its resection and extensive devascularization]
T Draczkowski1, D Zadrozny, M Oledzki
1I Katedry i Kliniki Chirurgii Akademii Medycznej w Gdańsku.
Wiadomosci Lekarskie (Warsaw, Poland : 1960)
|January 1, 1997
Summary
Gastroesophageal reflux is common in cirrhotic patients with varices. Non-shunt surgeries for bleeding esophageal varices do not significantly impact esophageal motility, as shown by pH and pressure monitoring.
Area of Science:
- Gastroenterology
- Surgical Research
Background:
- Bleeding esophageal varices are a serious complication of liver cirrhosis.
- Information on esophageal motility after non-shunt surgery for varices is limited.
Purpose of the Study:
- To investigate esophageal motility and gastroesophageal reflux after non-shunt operations for bleeding esophageal varices.
- To assess the impact of these surgeries on esophageal function.
Main Methods:
- Studied 37 patients treated for bleeding esophageal varices.
- Utilized 24-hour simultaneous pH and pressure monitoring (manometry).
- Compared pre- and postoperative esophageal parameters.
Main Results:
- Gastroesophageal reflux was present in over 50% of cirrhotic patients with varices.
- No statistically significant differences in esophageal motility were found between pre- and postoperative measurements.
- Extensive devascularization and esophageal transection did not significantly alter esophageal motility.
Conclusions:
- Gastroesophageal reflux is frequent in cirrhotic patients with varices.
- Non-shunt surgeries for bleeding varices appear to have minimal impact on esophageal motility.
- Combined 24-hour pH monitoring and manometry are valuable for objective motility assessment.