652 LAPAROSCOPIC FUNDOPLICATION IS EFFECTIVE TREATMENT FOR PATIENTS WITH GASTROESOPHAGEAL REFLUX AND ABSENT ESOPHAGEAL CONTRACTILITY

Abstract Anti-reflux surgery in the setting of preoperative esophageal dysmotility is contentious due to fear persistent long-term dysphagia, particularly individuals with an aperistaltic esophagus (absent contractility). Emerging evidence suggests fundoplication safe and effective patients dysmotility. This study aimed determine postoperative outcomes following absent contractility versus normal motility. Methods A case control was performed, using a prospectively maintained database identify all (40) on manometry who subsequently underwent (36 anterior partial, 4 Nissen). Cases were propensity matched based age, gender, type another 708 had Groups assessed prospective symptom assessment questionnaires assess heartburn, dysphagia for solids liquids, regurgitation, satisfaction surgery. Outcomes compared at baseline 1, 5 10 years follow-up. Results Across follow-up years, no significant differences found between two groups any symptoms. Multivariate analysis that worse (adjusted mean difference 1.09, p = 0.048), but postoperatively there scores year No overall patient identified across period. Conclusion Laparoscopic partial achieves acceptable without significantly contractility. Patients medically refractory reflux have should still be considered surgical intervention.