Correlation Between Preoperative and Postoperative Manometry After Nissen-Rossetti Fundoplication

  • Marcello Migliore
  • Gaetano Catania
  • Gaetano Romeo
Conference paper


There are several factors to be considered in the pathogenesis of gastroesophageal reflux (GER) as recognized by Skinner in 1985 [1]. The three most common surgical procedures are Nissen-Rossetti fundoplication [2], the Belsey Mark IV repair [3], and the Hill procedure [4]. The principle of the first two operations is to reinforce the lower esophageal sphincter (LES) with a cuff of gastric fundus wrapped around the intra-abdominal distal esophageal segment, and the principal of the last is a posterior gastropexy [5].


Gastroesophageal Reflux Lower Esophageal Sphincter Lower Esophageal Sphincter Pressure Hiatal Hernia Repair Lower Esophageal Sphincter Relaxation 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Skinner DB (1985) Pathophysiology of gastroesophageal reflux. Ann Surg 202: 546–556PubMedCrossRefGoogle Scholar
  2. 2.
    Nissen R (1956) Einfache operation zur beeinflussung der reflux oesophagitis. Schweiz Med Wochenschz 86: 590–592Google Scholar
  3. 3.
    Skinner DB, Belsey R (1967) Surgical management of esophageal reflux and hiatus hernia. J Thorac Cardiovasc Surg 53: 33PubMedGoogle Scholar
  4. 4.
    Low DE, Anderson RP, Lives R, Ricciardelli E, Hill LD (1989) Fifteen to 20 year result after the Hill antireflux operation. J Thorac Cardiovasc Surg 98: 444–450PubMedGoogle Scholar
  5. 5.
    DeMeester T, Hill LD, Skinner DB (1988) Indications for and technique of hiatal hernia repair. Symposium Contemp Surg 33: 83–104Google Scholar
  6. 6.
    DeMeester T, Bonavina L, Albertucci M (1986) Nissen fundoplication for gastroesophageal reflux disease: evaluation of primary repair in 100 consecutive patients. Ann Surg 204: 9–20PubMedCrossRefGoogle Scholar
  7. 7.
    Breumelhof R, Feelinger HW, Vlablom V, Jansen A, Smout AJPM (1991) Dysphagia after Nissen Fundoplication. Dysphagia 6: 6–10PubMedCrossRefGoogle Scholar
  8. 8.
    Grande L, Lacima G, Ros E, Puiol A, Garcia Caldecasa JC, Fuster J, Visa J, Pera C (1991) Dysphagia and esophageal motor dysfunction in gastroesophageal reflux are corrected by fundoplication. J Clin Gastroenterol 13 (1): 11–16PubMedCrossRefGoogle Scholar
  9. 9.
    Cooper JD, Gill SS, Nelems JM, Pearson FG (1977) Intraoperative and postoperative esophageal manometric findings with Collis gastroplasty and Belsey hiatal hernia repair for gastroesophageal reflux. J Thorac cardiovasc Surg 74 (5): 744–751PubMedGoogle Scholar
  10. 10.
    DeMeester T, Johnson LF, Kent AH (1974) Evaluation for current operation for the prevention of gastroesophageal reflux. Ann Surg 180: 511–525PubMedCrossRefGoogle Scholar
  11. 11.
    Kaul BK, DeMeester TR, Oka M, Ball CS, Stein HJ, Kim CB, Cheng S (1990) The cause of dysphagia in uncomplicated sliding hiatal hernia and its relief by hiatal herniorrhaphy. Ann Surg 211: 406–410PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Tokyo 1993

Authors and Affiliations

  • Marcello Migliore
  • Gaetano Catania
  • Gaetano Romeo
    • 1
  1. 1.Department of Surgery, University of Catania, Patologia Chirurgica IIOspedale Vittorio EmanueleCataniaItaly

Personalised recommendations