ISSN:
1432-2218
Keywords:
Key words: Laparoscopic — Nissen Fundoplication — Diffusing capacity — Lung function — Cough — Gastroesophageal reflux
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Background: An effort was made to assess the respiratory outcomes of laparoscopic Nissen fundoplication (LNF). Methods: Prospective follow-up of 69 patients undergoing LNF for gastroesophageal reflux disease. Outcomes included pulmonary function testing, 24-h pH recording, esophageal manometry, and symptom assessment. Results: There was an improvement (p 〈 0.0001) in heartburn and cough scores. There was a significant fall in spirometry (p 〈 0001), diffusing capacity (p 〈 0.0001), and respiratory muscle strength (p 〈 0.0001) 36 h after surgery, which had returned to baseline by 1 month. At 6 months, the patients (n= 16) with impaired preoperative diffusing capacity showed improvement (17.8 ± 3.7 to 19.8 ± 4.6 ml/min/mmHg, p= 0.0245). Conclusion: Patients undergoing LNF have impaired gas exchange before surgery which tends to improve 6 months after surgery. There is an early reversible impairment in respiratory function due to diaphragm dysfunction. Patients with a preoperative 1-s forced expired volume 〉 1.5, or 50% predicted, are unlikely to develop signficant early respiratory complication.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/s004649900272
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