Patients with ineffective esophageal motility benefit from laparoscopic antireflux surgery

ConclusionPatients with ineffective esophageal motility derive significant benefits in perioperative and QOL outcomes after LARS. Nevertheless, as anticipated, their baseline dysmotility may reduce the degree of improvement in dysphagia rates post-surgery compared to patients with normal motility. Furthermore, the presence of preoperative IEM should not be a contraindication for complete fundoplication. Key to optimal outcomes after LARS is careful patient selection based on objective perioperative data, including manometry evaluation, with the purpose of tailoring surgery  to provide effective reflux control and improved esophageal clearance.
Source: Surgical Endoscopy - Category: Surgery Source Type: research