TY - JOUR T1 - A manometric assessment of oesophagogastrostomy. JF - Thorax JO - Thorax SP - 656 LP - 659 DO - 10.1136/thx.31.6.656 VL - 31 IS - 6 AU - D W Ward AU - H R Mathews Y1 - 1976/12/01 UR - http://thorax.bmj.com/content/31/6/656.abstract N2 - Intraluminal pressures were recorded in 14 patients who had undergone oesophagogastrectomy. Seven of these had a mid-thoracic and seven a high cervical oesophagogastrostomy. The incidence of postoperative reflux complications in each group was noted. No pressure gradient across the anastomosis was detected in any patient but the upper oesophageal sphincter was shown to be retained as a functioning unit in all cases. It is considered that the thoracic anastomosis provides no demonstrable barrier to reflux. In addition, a high cervical oesophagogastrostomy does not adversely affect the upper oesophageal sphincter. The wider application of this latter procedure may be associated with a decreased incidence of postoperative reflux complications. ER -