Ajay H Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Shivang D Shukla, MBBS, Amol N Wagh, MS, FMAS, FIAGES, FAIS, Shekhar Jadhav, MS, Amrjeet Tandur, MS, Khushboo Kadakia, MBBS, Soumya Chatnalkar, MBBS, Priyanka Saha, MBBS, Niddhisha Sadhwani, MBBS. Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai, India
This is a Prospective randomized control trial comparing Laparoscopic Nissen's and Toupet's fundoplication . In our tertiary care set up, due to non feasibility of 24 hour Ph studies we have tried to establish role of HRM with upper GI scopy for diagnosing GERD and guiding us with the most appropriate treatment options.
We segregated patients into two groups , one with ineffective esophageal motility and one with normal motility. Patients in either group were randomized into those who will undergo Laparoscopic Toupet's and Nissen's repair.
Mean LES pressures were recorded in both the groups.Incidence of dyphagia was documented in either group at 6 months and after 2 years
Our results showed that Toupet's fundoplication was better than Nissen's in both the groups.
This study highlights the role of manometry in tailoring appropriate procedure for GERD. It also delineates the role of HRM in diagnosing GERD in a tertiary set up where 24 hr ph study is not feasible due to many factors.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 93905
Program Number: V288
Presentation Session: Video Loop Day 2
Presentation Type: VideoLoop
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