1. GASTRIC FUNDOPLICATION: CALIBRATION OF ANTI-REFLUX PLASTIC Giusto Pignata General and Mini-Invasive Surgery San Polo Hospital Monfalcone (GO) XXIV CONGRESSO NAZIONALE ACOI - 25/28 Maggio 2005 Montecatini Terme INNOVARE CONSERVANDO "La Sapienza è figliola della sperienza" Leonardo da Vinci

2. NO YES CALIBRATIONANTI-REFLUXPLASTIC

3. YES CALIBRATIONANTI-REFLUXPLASTIC

4. MANOMETRY ENDO-OESOPHAGEALTUBE CALIBRATIONANTI-REFLUXPLASTIC 10MM PROBE 10MM PROBE with o without ENDO-OESOFAGEALTUBE

5. MANOMETRY CALIBRATIONANTI-REFLUXPLASTIC Normocalibrated Nissen : 10- 20mmHg (normal LES pressure) high rate of gastroesophageal reflux Hypercalibrated Nissen : 20- 40mmHg Del Genio A, Dis Esophagus 1997

6. ENDO-OESOPHAGEALTUBE CALIBRATIONANTI-REFLUXPLASTIC Size: from 40 to 60 Fr.

7. CALIBRATIONANTI-REFLUXPLASTIC 10 mm EXPLORATORY EXPLORATORYPROBE with or without ENDO-OESOPHAGEALTUBE

8. GASTRIC FUNDOPLICATION 58 patients (2000-2004) Conversion rate and mortality: 0% Complications: 7.1% Acute dysphagia: 3% (2 pz) Reoperations: 1 slippage.