Application value of esophageal manometry and 24 hours esophageal pH monitoring in the surgical GERD

doi:10.3877/cma.j.issn.1674-6899.2015.03.007

Abstract

Abstract:

Objective

To summarize the application value of the high resolution esophageal radiometry combined with esophageal 24 hours ph monitoring in the surgical diagnosis and treatment of GERD.

Methods

70 cases who have been in xinjiang auto region people's hospital during the period of January 2014 to December with symptoms of gastroesophageal reflux disease being suspected as gastroesophageal reflux disease by clinical examination took the inspection of high resolution esophageal manometry and esophageal 24 hours ph monitoring .

Results

In 70 cases, 50 patients with GERD(71.4), in which 32 cases(64%) diagnosed as hiatal hernia by the high resolution esophageal manometry, 18 cases(36%) without hiatal hernia .The other 20 cases(28.6) wasn′t diagnosed as GERD, in which 4 cases(20%) diagnosed as hiatal hernia by the high esophageal manometry, 16 cases(80%) without hiatal hernia.

Conclusion

Patients with GERD tend to have a hiatal hernia. High resolution esophageal manometry combined with esophageal 24 hours ph monitoring play a significant role in the diagnosis and the choice of surgical operation modus for the treatment of GERD.

Key words: High resolution esophageal manometry, esophageal 24 hours ph monitoring, GERD, hiatal hernia

Zhi Du, Cheng Zhang, Kelimu, zhi Wang, Reyila, Yiliang Li, Fuzeng Su, Huilin Li. Application value of esophageal manometry and 24 hours esophageal pH monitoring in the surgical GERD[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2015, 02(03): 147-151.

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References 18

1	Elakkary E, Duffy A, Roberts K, et al.Recent advances in the surgical treatment of achalasia and gastroesophageal reflux disease[J]. J Clin Gastroenterol, 2008, 42(5): 603-609.
2	张逊．胃食管反流性病外科治疗的进展[J]．中华医学杂志，2005，85(22)：1582-1584.
3	El Serag H, Hill C, Jones R. Systematic review: the epidemiology of gastroesophageal reflux disease in primary care, using the UK General Practice Research Database[J]. Aliment Pharmacol Ther, 2009, 29(5): 470-480.
4	Valenzuela GA, Dickinson D. Prevalence of hiatal hernia in symptomatic GERD by high resolution manometry and endoscopy[J]. Gastrointest Endosc, 2010 , 71(5): AB268.
5	Grubel C, Hiscock R, Hebbard G. Value of spatiotemporal representation of manometric data [J]. Clin Gastroenterol Hepatol, 2008, 6(5): 525-530.
6	Fox MR, Bredenoord AJ.Oesophageal high-resolution manometry: moving from research into clinical practice[J]. Gut, 2008, 57(3): 405-423.
7	田文，马冰．腹腔镜食管裂孔疝诊断和治疗[J/CD]．中华胃食管反流病电子杂志，2014，1(1)：7-8.
8	张成，克力木．腹腔镜手术治疗食管裂孔疝现状与争议[J/CD]．中华疝和腹壁外科杂志：电子版，2011，5(2)：208-202.
9	俞德梁刘小南赵青川食管裂孔疝的外科治疗进展第四军医大学西京医院消化科2014-05-27，503.
10	李兆申，王雯，许国铭，于凤海，邹多武，孙振兴．反流性食管炎1827例临床分析．中华内科杂志2001；40：9-12.
11	张成，克力木·阿不都热依木，王志．腹腔镜食管裂孔疝修补术和胃底折叠术的围手术期处理[J/CD]．中华胃食管反流病电子杂志，20141，(1)：12-14.
12	Aly A, Munt J, Jamieson GG, et al.Laparoscopic repair of large hiatal hernias[J]. Br J Surg, 2005, 92(5): 648-653.
13	Mittal RK, Holloway RH, Penagini R, et al.Transient lower esophageal sphincter relaxation [J]. Gastroenterology, 1995, 109(2): 601-610.
14	丁元伟．老年健康人及反流性食管炎患者食管运动功能的测[J]．中华老年医学杂志，1999，18(1)：30-31.
15	郭荣斌，彭丽华，程留芳，等．老年胃食管反流病患者食管运动功能改变[J]．世界华人消化杂志，2004，12(1)：125-128.
16	Adhami T, Richter JE.Twenty-four hour PH monitoring in the assessment of esophageal function[J]. Semin Thorac Cardiovasc Surg, 2001, 13(3): 241-254.
17	克力木·阿不都热依木，张成，汪忠稿．胃食管反流病与食管裂孔疝外科临床研究现状与争议[J/CD]．中华胃食管反流病电子杂志，2014，1(1)：4-6.
18	潘国宗，曹世植．现代胃肠病学[M]．北京：科学出版社，1994：729.

性别	GERD		合计
性别	＋	－	合计
男	26	11	37
女	24	9	33
合计	50	20	70
χ²值	?	?	0.045
P值	?	?	0.75<P<0.9

性别	GERD		合计
性别	＋	－	合计
男	26	11	37
女	24	9	33
合计	50	20	70
χ²值	?	?	0.045
P值	?	?	0.75<P<0.9

性别	食管裂孔疝		合计
性别	＋	－	合计
男	20	17	37
女	16	17	33
合计	36	34	70
χ²值	?	?	0.229 5
P值	?	?	0.5<P<0.75

性别	食管裂孔疝		合计
性别	＋	－	合计
男	20	17	37
女	16	17	33
合计	36	34	70
χ²值	?	?	0.229 5
P值	?	?	0.5<P<0.75

GERD	食管裂孔疝		合计
GERD	＋	－	合计
＋	32	18	50
－	4	16	20
合计	36	34	70
χ²值	?	?	11.1
P值	?	?	<0.005

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