Clinical Significance of Esophageal Outflow Resistance Imposed by a Nissen Fundoplication

Attention has been focused on the amplitude of esophageal body contraction to avoid persistent dysphagia after a Nissen fundoplication. The current recommended level is a contraction amplitude in the distal third of esophagus above the fifth percentile. We hypothesized that a more physiologic approach is to measure outflow resistance imposed by a fundoplication, which needs to be overcome by the esophageal contraction amplitude.

Source: Journal of the American College of Surgeons - April 14, 2019 Category: Surgery Authors: Shahin Ayazi, Steven R. DeMeester, Jeffrey A. Hagen, Joerg Zehetner, Ross M. Bremner, John C. Lipham, Peter F. Crookes, Tom R. DeMeester Tags: Original scientific article Source Type: research