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Prospective Study of the Effect of Laparoscopic Hemifundoplication on Motor and Sensory Function of the Proximal Stomach by M. K. Vu; J. Ringers; J. W. Arndt; C. B. H. W. Lamers; A. A. M. Masclee is a scholarly article available to read on EtoBox.
What is Prospective Study of the Effect of Laparoscopic Hemifundoplication on Motor and Sensory Function of the Proximal Stomach about?
## Abstract ## Background Some 30 per cent of patients develop dyspeptic symptoms following antireflux surgery. These symptoms may result from alterations in the motor and sensory function of the proximal stomach. ## Methods Proximal gastric motor and sensory function was studied with an electronic barostat in 12 patients with reflux who underwent laparoscopic hemifundoplication. In addition, 24-h pHmetry, gastric emptying (scintigraphy) and vagus nerve integrity (pancreatic polypeptide response to hypo-glycaemia) were assessed. Fifteen healthy volunteers served as controls. ## Results Laparoscopic hemifundoplication significantly decreased total acid exposure time (P < 0·05). Vagus nerve function remained intact in all but one patient. The mean(s.e.m.) lag phase for emptying of solids was significantly shorter after operation than before (15(3) versus 21(3) min; P < 0·05). Proximal gastric compliance was not significantly different before and after fundoplication. However, mean(s.e.m.) postprandial relaxation was significantly reduced (P < 0·05) after hemifundoplication compared with the value before operation (3341(1105) versus 12 763(3616) ml over 90 min) and in controls (14 567
- Author
- M. K. Vu; J. Ringers; J. W. Arndt; C. B. H. W. Lamers; A. A. M. Masclee
- Publisher
- John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley; Research Square; Oxford University Press (OUP) (ISSN 0007-1323)
- Published
- 2000
- Language
- EN
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