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Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

BELTRAN S., Marcelo A.; HABERLE O., Fernanda  y  RODRIGUEZ V., Francisco. Esophageal manometry in patients with total gastrectomy 5 years after surgery. Rev Chil Cir [online]. 2017, vol.69, n.5, pp.365-370. ISSN 0718-4026.  http://dx.doi.org/10.1016/j.rchic.2017.04.003.

Introduction:

The most preferred technique to reconstruct the intestinal transit after total gastrectomy for gastric cancer is the Roux-en-Y esophagus-gastrostomy which prevents the reflux of alkaline intestinal juice. The purpose of this study was to analyze the esophageal motility and the motility of the jejunal loop in patients subjected to total gastrectomy.

Patients and method:

A prospective sample of 17 total gastrectomy patients operated on 5 years before was studied using high resolution esophageal manometry including the first 7 cm of the jejunal loop.

Results:

Manometry results showed normal esophageal body motility with the exception of the maximum intrabolus pressure that was elevated in all patients. The jejunal loop motility was disordered and ineffective.

Conclusions:

Esophageal body motility was normal 5 years after the surgical procedure. However, maximum intrabolus pressure was elevated and the most plausible reason would be the jejunal loop that exerts resistance to the bolus passage due to its ineffective motility. However, this fact does not have a significant clinical impact.

Palabras clave : Total gastrectomy; Roux-en-Y; Esophageal manometry; Inferior esophageal sphincter.

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