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Intraoperative esophageal manometry has not been correlated with early postoperative extended esophageal pH monitoring (EEpHM) in children with gastroesophageal reflux. Twenty-seven children were studied with the following design: (1) abnormal preoperative EEpHM; (2) intraoperative measurement of lower esophageal high pressure zone (LEHPZ) pressure and length prior to and upon completion of an antireflux procedure; and (3) EEpHM seven to ten days postoperatively. Sixteen had a Nissen or modified Thal fundoplication and eleven a Boerema gastropexy. The postoperative EEpHM was normal in patients with fundoplication regardless of the increase in LEHPZ pressure (-4 to 36 mmHg) or length (0 to 2.5 cm). Four of the patients (36%) who had a gastropexy had abnormal EEpHM. The postoperative frequency of reflux was related inversely to the elevation of LEHPZ pressure (-3 to 39 mmHg), but not to the LEHPZ length (0 to 4.5 cm). Duration of reflux was independent of observed intraoperative manometric changes. In conclusion, early postoperative EEpHM in children having a gastropexy correlates with intraoperative increases in the LEHPZ pressure. There is no such correlation in children having a fundoplication procedure.
S G Jolley, and
W P Tunell, and
D J Hoelzer, and
E I Smith
January 1984,
Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris,
S G Jolley, and
W P Tunell, and
D J Hoelzer, and
E I Smith
April 1991,
Minerva chirurgica,
S G Jolley, and
W P Tunell, and
D J Hoelzer, and
E I Smith
April 1991,
Minerva chirurgica,
S G Jolley, and
W P Tunell, and
D J Hoelzer, and
E I Smith
June 2008,
Gastroenterology & hepatology,
S G Jolley, and
W P Tunell, and
D J Hoelzer, and
E I Smith
April 1991,
Minerva chirurgica,
S G Jolley, and
W P Tunell, and
D J Hoelzer, and
E I Smith
April 1991,
Minerva chirurgica,
S G Jolley, and
W P Tunell, and
D J Hoelzer, and
E I Smith
June 1996,
The American journal of gastroenterology,
S G Jolley, and
W P Tunell, and
D J Hoelzer, and
E I Smith
April 1991,
Minerva chirurgica,
S G Jolley, and
W P Tunell, and
D J Hoelzer, and
E I Smith
April 1991,
Minerva chirurgica,
S G Jolley, and
W P Tunell, and
D J Hoelzer, and
E I Smith
April 1991,
Minerva chirurgica,
