{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T23:23:59Z","timestamp":1769815439213,"version":"3.49.0"},"reference-count":32,"publisher":"FapUNIFESP (SciELO)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:p>ABSTRACT Background: Sleeve gastrectomy may alter esophageal motility and lower esophageal sphincter pressure. Aim: To detect manometric changings in the esophagus and lower esophageal sphincter before and after sleeve gastrectomy in order to select patients who could develop postoperative esophageal motilitity disorders and lower esophageal sphincter pressure modifications. Methods: Seventy-three patients were selected. All were submitted to manometry before the operation and one year after. The variables analyzed were: resting pressure of the lower esophageal sphincter, contraction wave amplitude, duration of contraction waves, and esophageal peristalsis. Data were compared before and after surgery and to the healthy and non-obese control group. Exclusion criteria were: previous gastric surgery, reflux symptoms or endoscopic findings of reflux or hiatal hernia, diabetes and use of medications that could affect esophageal or lower esophageal sphincter motility. Results: 49% of the patients presented preoperative manometric alterations: lower esophageal sphincter hypertonia in 47%, lower esophageal sphincter hypotonia in 22% and increase in contraction wave amplitude in 31%. One year after surgery, manometry was altered in 85% of patients: lower esophageal sphincter hypertonia in 11%, lower esophageal sphincter hypotonia in 52%, increase in contraction wave amplitude in 27% and 10% with alteration in esophageal peristalsis. Comparing the results between the preoperative and postoperative periods, was found statistical significance for the variables of the lower esophageal sphincter, amplitude of contraction waves and peristalsis. Conclusion: Manometry in the preoperative period of sleeve gastrectomy is not an exam to select candidates to this technique.<\/jats:p>","DOI":"10.1590\/0102-6720201700030013","type":"journal-article","created":{"date-parts":[[2017,10,4]],"date-time":"2017-10-04T19:35:43Z","timestamp":1507145743000},"page":"222-224","source":"Crossref","is-referenced-by-count":14,"title":["PREOPERATIVE MANOMETRY FOR THE SELECTION OF OBESE PEOPLE CANDIDATE TO SLEEVE GASTRECTOMY"],"prefix":"10.1590","volume":"30","author":[{"given":"Antonio Carlos","family":"VALEZI","sequence":"first","affiliation":[{"name":"State University of Londrina, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando Augusto","family":"HERBELLA","sequence":"additional","affiliation":[{"name":"State University of Londrina, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"MALI-JUNIOR","sequence":"additional","affiliation":[{"name":"State University of Londrina, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariano de Almeida","family":"MENEZES","sequence":"additional","affiliation":[{"name":"State University of Londrina, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rio","family":"LIBERATTI","sequence":"additional","affiliation":[{"name":"State University of Londrina, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael Onuki","family":"SATO","sequence":"additional","affiliation":[{"name":"State University of Londrina, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","first-page":"1550","article-title":"Long-term (11+years) outcomes in weight, patient satisfaction, comorbidities, and gastroesophageal reflux treatment after laparoscopic sleeve gastrectomy","volume":"19","author":"Arman GA","year":"2016","journal-title":"Surg Obes Relat Dis"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1016\/j.suc.2015.02.003","article-title":"Esophageal motility disorders","volume":"95","author":"Bowers SP","year":"2015","journal-title":"Surg Clin North Am"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1007\/s11695-009-0040-3","article-title":"Manometric changes of the lower esophageal sphincter after sleeve gastrectomy in obese patients","volume":"20","author":"Braghetto I","year":"2010","journal-title":"Obes Surg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1436","DOI":"10.1007\/s11695-014-1222-1","article-title":"Effect of sleeve gastrectomy on gastroesophageal reflux","volume":"24","author":"Burgerhart JS1","year":"2014","journal-title":"Obes Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1016\/j.soard.2011.01.040","article-title":"Association between gastroesophageal reflux disease and laparoscopic sleeve 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Surg"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"2307","DOI":"10.1007\/s10620-008-0413-9","article-title":"The association between obesity and GERD a review of the epidemiological evidence","volume":"53","author":"El-Serag H","year":"2008","journal-title":"Dig Dis Sci"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"1760","DOI":"10.1007\/s00464-014-3902-2","article-title":"Does laparoscopic sleeve gastrectomy have any influence on gastroesophageal reflux disease Preliminary results","volume":"29","author":"Gorodner V","year":"2015","journal-title":"Surg Endosc"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"58","DOI":"10.4291\/wjgp.v6.i3.58","article-title":"Can high resolution manometry parameters for achalasia be obtained by conventional manometry","volume":"15","author":"Herbella FA","year":"2015","journal-title":"World J Gastrointest Pathophysiol"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1016\/j.soard.2011.08.003","article-title":"Gastroesophageal reflux after sleeve gastrectomy in morbidly obese patients","volume":"7","author":"Howard DD","year":"2011","journal-title":"Surg Obes Relat Dis"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1590\/s0102-67202015000100009","article-title":"Cilinical, endoscopic and manometric features of the primary motor disorders of the esophagus","volume":"28","author":"JC","year":"2015","journal-title":"Arq Bras Cir Dig"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"1301","DOI":"10.1111\/j.1742-1241.2007.01475.x","article-title":"Relationship between symptoms, subjective well-being and medication use in gastro-oesophageal reflux disease","volume":"61","author":"Jones R","year":"2007","journal-title":"Int J Clin Pract"},{"key":"ref15","first-page":"360","article-title":"The effect of laparoscopic sleeve gastrectomy on the antireflux mechanism can it be minimized?","volume":"22","author":"Kleidi E","year":"2012","journal-title":"Surg Endosc"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"4625","DOI":"10.1007\/s00464-013-3083-4","article-title":"The effect of laparoscopic sleeve gastrectomy on the antireflux mechanism can it be minimized?","volume":"27","author":"Kleidi E","year":"2013","journal-title":"Surg Endosc"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"1046","DOI":"10.1001\/jamasurg.2016.2317","article-title":"Bariatric Surgery and Long-term Durability of Weight Loss","volume":"151","author":"Maciejewski ML","year":"2016","journal-title":"JAMA Surg"},{"issue":"12","key":"ref18","doi-asserted-by":"crossref","first-page":"2430","DOI":"10.1007\/s11695-015-1906-1","article-title":"Gastroesophageal Reflux Disease and Sleeve Gastrectomy","volume":"25","author":"Melissas J","year":"2015","journal-title":"Obes 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esophagitis 1year after laparoscopic sleeve gastrectomy among obese adults","volume":"27","author":"Tai CM1","year":"2013","journal-title":"Surg Endosc"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1002\/bjs.10089","article-title":"pH monitoring of gastro-oesophageal reflux before and after laparoscopic sleeve gastrectomy","volume":"103","author":"Thereaux J","year":"2016","journal-title":"Br J Surg"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.1007\/s11695-012-0613-4","article-title":"Esophageal motility after laparoscopic Roux-en-Y gastric bypass the manometry be preoperative examination routine?","volume":"22","author":"Valezi AC","year":"2012","journal-title":"Obes Surg"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.ijsu.2016.04.026","article-title":"Is sleeve gastrectomy a therapeutic procedure for all obese patients","volume":"30","author":"Vuolo G","year":"2016","journal-title":"Int J 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