{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T22:17:54Z","timestamp":1792189074706,"version":"4.4.0"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,10,11]],"date-time":"2019-10-11T00:00:00Z","timestamp":1570752000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,10,11]],"date-time":"2019-10-11T00:00:00Z","timestamp":1570752000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2019,10,11]],"date-time":"2019-10-11T00:00:00Z","timestamp":1570752000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005788","name":"Medizinische Universit\u00e4t Wien","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005788","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Patients with preoperative ineffective esophageal motility (IEM) are thought to be at increased risk for postoperative dysphagia leading to the recommendations for tailoring or avoiding anti\u2010reflux surgery in these patients. The aim of this study was to evaluate if IEM has an influence on postoperative outcome after laparoscopic Nissen fundoplication (LNF).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Seventy\u2010two consecutive patients with IEM underwent LNF and were case\u2010matched with 72 patients without IEM based on sex, age, BMI, HH size, total pH percentage time, total number of reflux episodes and the presence of BE. Standardized interview assessing postoperative gastrointestinal symptoms, proton pump inhibitor intake, GERD\u2010health\u2010related\u2010quality\u2010of\u2010life (GERD\u2010HRQL), alimentary satisfaction and patients\u2019 overall satisfaction was evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Although a higher rate of preoperative dysphagia was observed in patients with IEM (29% IEM vs. 11% no IEM, <jats:italic>p<\/jats:italic>\u2009=\u20090.007), there was no significant difference in rates of dysphagia postoperatively (2 IEM vs. 1\u00a0no IEM, <jats:italic>p<\/jats:italic>\u2009=\u20090.559). Furthermore, no distinction was found in the postoperative outcome regarding symptom relief, quality of life, gas bloating syndrome, ability to belch and\/or vomit or revision surgery between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although preoperative IEM has an influence on GERD presentation, it has no effect on postoperative outcome after LNF. IEM should not be a cause for avoiding LNF, as is has been shown as the most effective and safe anti\u2010reflux treatment.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-019-05229-y","type":"journal-article","created":{"date-parts":[[2019,10,11]],"date-time":"2019-10-11T17:03:23Z","timestamp":1570813403000},"page":"186-193","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Ineffective Esophageal Motility in Patients with GERD is no Contraindication for Nissen Fundoplication"],"prefix":"10.1002","volume":"44","author":[{"given":"Milena","family":"Nikolic","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of General Surgery Medical University of Vienna Waehringer Guertel 18\u201020 1090 Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrin","family":"Schwameis","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of General 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