Kim Min P, Meisenbach Leonora M, Chan Edward Y
Department of Surgery, Division of Thoracic Surgery.
Department of Surgery, Weill Cornell Medical College, Houston Methodist Hospital, Houston, TX.
Surg Laparosc Endosc Percutan Tech. 2018 Jun;28(3):178-182. doi: 10.1097/SLE.0000000000000527.
Endoluminal functional lumen imaging probe (EndoFLIP) can provide real time information about characteristics of the gastroesophageal junction. We performed retrospective analysis of prospectively collected data on use of EndoFLIP during minimally invasive hiatal hernia repair to tailor the size of the crural closure and size of the fundoplication. We then determined whether it provides good reflux control without significant dysphagia. Forty patients underwent minimally invasive hiatal hernia repair with fundoplication. After fundoplication, the average minimal diameter (Dmin) decreased to 5.97±0.6 from 8.92±1.93 mm, and distensibility index decreased to 1.26±0.38 from 2.88±1.55 mm/mm Hg (P<0.0001). After 1 month, none of the patients had reflux or significant dysphagia. EndoFLIP can be used to tailor fundoplication with good functional outcome. Further studies are needed to understand the long-term consequences of tailored fundoplication.
腔内功能性管腔成像探头（EndoFLIP）能够提供有关胃食管交界处特征的实时信息。我们对前瞻性收集的关于在微创食管裂孔疝修补术中使用EndoFLIP的数据进行了回顾性分析，以确定膈肌脚关闭的大小和胃底折叠术的大小。然后我们确定它是否能在不引起明显吞咽困难的情况下提供良好的反流控制。40例患者接受了微创食管裂孔疝修补术并进行了胃底折叠术。胃底折叠术后，平均最小直径（Dmin）从8.92±1.93毫米降至5.97±0.6毫米，扩张性指数从2.88±1.55毫米/毫米汞柱降至1.26±0.38毫米/毫米汞柱（P<0.0001）。1个月后，所有患者均无反流或明显吞咽困难。EndoFLIP可用于调整胃底折叠术，功能效果良好。需要进一步研究以了解调整胃底折叠术的长期后果。
