Nissen fundoplication for gastroesophageal reflux: No deterioration of gastric emptying measured by 13C-acetate breath test

Abstract

Aim: To study the gastric emptying 30 days after laparoscopic Nissen fundoplication (NF) in gastroesophageal reflux. Materials and Methods: Three patients were evaluated with 13 C-acetate breath test (ABT) performed pre and post-NF. The liquid test meal consisted of Racol TM mixed with 13 C-acetate. Results: In the patient without neurological impairment (NI), the preoperative t 1/2 ex and t lag were 0.900 and 0.510 hours, respectively. The postoperative t 1/2 ex and t lag were 0.959 and 0.586 hours, respectively. In one patient with NI, the preoperative t 1/2 ex and t lag were 1.828 and 1.092 hours, respectively. The postoperative t 1/2 ex and t lag were 2.081 and 1.025 hours, respectively. In the other patient with NI, the preoperative t 1/2 ex and t lag were 2.110 and 0.980 hours, respectively. The postoperative t 1/2 ex and t lag were 1.118 and 0.415 hours, respectively. Conclusions: Our findings suggest that 13 C-ABT parameters did not worsen in any of the children after laparoscopic NF.

Keywords

• 13 C-acetate breath test
• gastric emptying rate
• gastroesophageal reflux
• laparoscopic Nissen fundoplication
• pyloroplasty