The Annals of Thoracic Surgery, Vol 26, 574-580, Copyright © 1978 by The Society of Thoracic Surgeons
Lesser curvature tubular gastroplasty with partial plication for gastroesophageal reflux: manometric and pH-metric postoperative studies
A Benages, F Paris, MT Ridocci, V Tarazona, R Molina, F Mora, A Canto, M Lloret and G Garrido
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.
