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Ann Thorac Surg 1978;26:574-580
© 1978 The Society of Thoracic Surgeons

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Articles

Lesser Curvature Tubular Gastroplasty with Partial Plication for Gastroesophageal Reflux: Manometric and pH-metric Postoperative Studies

Services of Thoracic Surgery, Radiology, and Gastroenterology, Hospital La Fé, and the Esophageal Laboratory, University Hospital, Valencia, Spain

Accepted for publication February 10, 1978.

^* Address reprint request to Dr. Paris, Servicio de Cirugia Torácica, Departamento de Cirugia, Hospital La Fé, Avda Alférez Provisional 21, Valencia 9, Spain.

Thirty-four patients with sliding hiatal hernia, gastroesophageal reflux, or both were treated by lesser curvature gastroplasty with partial gastric plication, using a surgical stapler. Before operation, esophageal manometric studies were performed in 33 patients and during the early postoperative period (1 to 3 months), in 34. The esophageal pH test was performed before operation in 22 patients, shortly after discharge in 27, and later in 30 patients. The clinical results were considered satisfactory in 30 patients (88%) after follow-up ranging from 18 to 33 months (average, 23 months).

Before the procedure, the abdominal compression test was positive in 25 of 30 patients (83%). In early postoperative studies it was positive in 1 out of 34 patients (3%), but in the second series of postoperative studies it was positive in 9 out of 32 (28%). After instillation of hydrochloric acid into the stomach, the esophageal pH test was considered positive in 17 out of 22 patients in preoperative studies (77%). In early postoperative studies the test was positive in 3 out of 27 patients (11%) and one year later, in 7 out of 30 (23%). The later postoperative studies showed a higher number of positive reflux tests than the early studies, 28 and 23% positive in manometric and pH tests, respectively.

This article has been cited by other articles:

				M. Tomas-Ridocci, F. Paris, C. Carbonell-Antoli, F. Mora, R. Molina, J. Padilla, C. Carbonell-Canti, E. Moreno-Osset, R. Guijarro, and A. Benages Total Fundoplication with or without Gastroplasty for Gastroesophageal Reflux: Comparative Study Ann. Thorac. Surg., June 1, 1985; 39(6): 508 - 511. [Abstract] [PDF]

				F. Paris, M. Tomas-Ridocci, A. Benages, A. G. Zarza, R. Molina, J. Padilla, F. Mora, J. M. Borro, and E. Moreno Gastroplasty with Partial or Total Plication for Gastroesophageal Reflux: Manometric and pH-metric Postoperative Studies Ann. Thorac. Surg., June 1, 1982; 33(6): 540 - 548. [Abstract] [PDF]