Skip to main content
padlock icon - secure page this page is secure

Laparoscopic antireflux surgery in the treatment of the acid-sensitive oesophagus

The full text article is not available for purchase.

The publisher only permits individual articles to be downloaded by subscribers.

SummaryBackground

Approximately 10 per cent of patients referred for 24-h oesophageal pH tests with symptoms suggestive of gastro-oesophageal reflux disease will have a normal endoscopic examination and normal distal oesophageal acid exposure times, but a clear temporal correlation between their symptoms and episodes of acid reflux. These patients have an ‘acid-sensitive oesophagus’, which forms part of the spectrum of reflux-related conditions. Their response to antireflux surgery has not been reported previously. This study represents a prospective cohort analysis of a clearly defined group of patients with acid-sensitive oesophagus who have undergone laparoscopic antireflux surgery.Methods

Nineteen patients (nine male and ten female; median age 32 years) underwent laparoscopic antireflux surgery for acid-sensitive oesophagus. All had had an incomplete response to medical therapy.Results

Eighteen of 19 patients were graded Visick I or II at 6 months after operation; all 16 patients followed for 1 year were graded Visick I or II. There were significant falls in DeMeester symptom score (4·0 versus 0·5; P < 0·001), symptom events (20 versus none; P < 0·001), number of reflux episodes (17 versus two; P < 0·001) and overall acid exposure times (1·2 versus 0·3 per cent; P < 0·001) after operation.Conclusion

Laparoscopic antireflux surgery is a valid and effective treatment for patients with an acid-sensitive oesophagus.

Presented in poster form to the British Society of Gastroenterology, Birmingham, March 2000 and the American Gastroenterological Association, San Diego, May 2000
No References
No Citations
No Supplementary Data
No Article Media
No Metrics

Document Type: Research Article

Publication date: April 1, 2001

More about this publication?
  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
X
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more