Bad Response to Medical Therapy and Atypical Symptoms are Negative Prognostic Factors for Postoperative Dysphagia After Antireflux Surgery

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Authors

PROCHÁZKA Vladimír MAREK Filip KROUPA Radek KALA Zdeněk

Year of publication 2008
Type Article in Periodical
Magazine / Source Journal of clinical Gastroenterology
MU Faculty or unit

Faculty of Medicine

Citation
Field Surgery incl. transplantology
Keywords atypical symtoms; dysphagia; reflux; surgery
Description Postoperative dysphagia cannot be predicted by preoperative pH metry, preoperative manometry and age. Postoperative dysphagia was the most frequent in patients with atypical symptomatology and absence of typical symptoms, and in patients with bad response to medical therapy of proton pump inhibitor. These negative prognostic factors were more frequently found in females. We conclude that routine use of preoperative functional esophageal measurement is controversial, because according to our results, the preoperative pH metry and manometry cannot predict postoperative dysphagia.
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