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Digestive Diseases and Sciences

, Volume 52, Issue 10, pp 2850–2857 | Cite as

Drinking Capacity and Severity of Dyspeptic Symptoms During a Water Load Test After Nissen Fundoplication

  • Jose María Remes-Troche
  • Aldo Montaño-Loza
  • Julio César Martínez
  • Miguel Herrera
  • Miguel Angel Valdovinos-Díaz
Original Paper

Abstract

Up to 30% of subjects undergoing Nissen fundoplication develop dyspeptic symptoms. Previous studies using the water load test have shown that functional dyspepsia patients have a diminished drinking capacity due to increased visceral sensitivity. Here we investigate drinking capacity and severity of symptoms in 9 patients with dyspeptic symptoms after fundoplication, 9 patients without symptoms after surgery, 18 functional dyspepsia patients, and 18 controls. The water load test was performed by having subjects drinking room-temperature tap water at a predetermined rate of 15 ml/min. The presence and severity of symptoms during the test were evaluated every 5 min using a Likert scale. We found that patients with dyspeptic symptoms after fundoplication had a significantly lower drinking capacity and higher symptoms scores than controls (P<0.05) but values similar to those of functional dyspepsia patients (P>0.05). In contrast, drinking capacity in patients without symptoms after surgery was similar to that in controls (P>0.05). These findings suggest that, as in functional dyspepsia, severe dyspeptic symptoms after Nissen fundoplication are associated with an impaired drinking capacity, reflecting visceral hypersensitivity or impaired gastric accommodation or both.

Keywords

Nissen fundoplication Functional dyspepsia Water load test Drinking capacity 

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Jose María Remes-Troche
    • 1
  • Aldo Montaño-Loza
    • 1
  • Julio César Martínez
    • 1
  • Miguel Herrera
    • 2
  • Miguel Angel Valdovinos-Díaz
    • 1
  1. 1.Department of GastroenterologyInstituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMéxicoMéxico
  2. 2.Department of SurgeryInstituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMéxicoMéxico

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