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COLLIS‐NISSEN GASTROPLASTY FUNDOPLICATION FOR COMPLICATED GASTRO‐OESOPHAGEAL REFLUX DISEASE
Author(s) -
Martin Christopher J.,
Cox Michael R.,
Cade Richard J.
Publication year - 1992
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1992.tb00010.x
Subject(s) - medicine , asymptomatic , reflux , nissen fundoplication , gastro , endoscopy , surgery , gastroenterology , disease
Book reviews in this article: Collis‐Nissen gastroplasty fundoplication is a widely accepted operation for patients with gastro‐oesophageal reflux disease complicated by oesophageal shortening. Assessment of this operation by 24 h oesophageal pH monitoring has not previously been reported. Our aim was to correlate clinical and endoscopic results with 24 h pH studies. Twenty‐nine patients had a gastroplasty fundoplication, as a result of which twenty‐five (86%) had an excellent clinical result, 2 (7%) had a good result and 2 (7%) had a poor result. The two poor results were in patients who had previously undergone anti‐reflux surgery. All 29 patients had pre‐operative pH monitoring. Twenty‐three patients had postoperative pH studies. Oesophageal acidification times were normal postoperatively in 16 of 23 patients however, 7 still had an abnormal study. One of the two patients with a poor clinical result was studied and persistent severe oesophageal acidification was demonstrated. The remaining 6 patients with abnormal studies were asymptomatic. Five of the 6 asymptomatic patients also had a normal oesophagogastroscopy with no macroscopic oesophagitis. We conclude that 24 h pH monitoring after the Collis‐Nissen operation should only be performed to assess clinically and endoscopically poor results.