A prospective study on the effect of the Belsey Mark IV 270-degree fundoplication on lower esophageal sphincter characteristics and esophageal body motility

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Presentation transcript:

A prospective study on the effect of the Belsey Mark IV 270-degree fundoplication on lower esophageal sphincter characteristics and esophageal body motility J.M.L.M. Horbach, MDa, A.A.M. Masclee, MD, PhDb, C.B.H.W. Lamers, MD, PhDb, H.G. Gooszen, MD, PhDb The Journal of Thoracic and Cardiovascular Surgery Volume 109, Issue 4, Pages 636-641 (April 1995) DOI: 10.1016/S0022-5223(95)70344-6 Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 1 Effect of Belsey Mark IV operation on basal LESP in millimeters of mercury (y-axis) in group of patients who had successful operations (n = 38, p < 0.0001, left panel) and group of patients with surgical failure (n = 8, right panel). Successful operation is defined as relief of symptoms with healing of esophagitis. Mark the considerable overlap between preoperative and post-operative basal LESP values in Both groups. NS, Not significant The Journal of Thoracic and Cardiovascular Surgery 1995 109, 636-641DOI: (10.1016/S0022-5223(95)70344-6) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 2 Preoperative and postoperative length of LES in centimeters (y axis) in group of patients who had successful operations (left panel, n = 38, p < 0.0001) and group of patients with surgicalfailure (right panel, n = 8). Successful operation is defined as relief of symptoms with healing of esophagitis. Note almost complete overlap between both groups. The Journal of Thoracic and Cardiovascular Surgery 1995 109, 636-641DOI: (10.1016/S0022-5223(95)70344-6) Copyright © 1995 Mosby, Inc. Terms and Conditions

Fig. 3 Correlation between length in centimeters (x axis) and pressure in millimeters of mercury (y axis) of LES before (left panel) and after (right panel) antireflux operation. Patients who had successful operations (n = 38) are indicated as black dots and those with surgical failure as open circles. Surgical success is defined as relief of symptoms with healing of esophagitis. IAS, Intraabdominal segment. The Journal of Thoracic and Cardiovascular Surgery 1995 109, 636-641DOI: (10.1016/S0022-5223(95)70344-6) Copyright © 1995 Mosby, Inc. Terms and Conditions