DOES MODERN TECHNOLOGY BELONG IN GASTROINTESTINAL SURGERY - A STEP FROM SUBJECTIVE PERCEPTION TO OBJECTIVE INFORMATION

The intra-operative measurement of lower esophageal sphincter (LES) pressure can aid the surgeon in primary repair of the gastroesophageal junction. We evaluated 1,000 patients undergoing primary repairs; 540 patients underwent surgery before the introduction of LES pressure measurements and 460 patients after LES pressure measurement. The incidence of continued reflux was lower in the group having intra-operative LES pressure measurement (4.5% vs. 4.5%). The incidence of continued reflux in this group has been < 1%. The measurement of intra-operative LES pressure brings objective technology to our patients and improves their quality of life.