Portal hypertension in patients with cirrhosis is the cause of many dangerous complications, such as hepatic encephalopathy, ascites, and gastro-oesophageal variceal bleeding. Gastrooesophageal variceal bleeding is the cause of more than one-third of deaths in patients with liver cirrhosis [3]. H.pylori infection has a role in some diseases as peptic ulcer [4] portal hypertensive gastropathy [5...

The study aims to evaluate, at medium- and long-term follow-up, the efficacy of Nissen-Rossetti fundoplication to control both gastro-oesophageal and pharyngeal reflux, detected with the use of 24-hour pH-multi-channel intra-luminal impedance. Of the 1000 patients who underwent Nissen-Rossetti fundoplication in our Division since 1972, the laparoscopic approach was adopted in 428 consecutive pa...

The effect of fundoplication on patterns of gastro-oesophageal reflux and the underlying motor mechanisms were investigated in 18 patients with symptomatic reflux. Oesophageal motility and pH were recorded concurrently after a standard meal. Studies were performed preoperatively and from 5 to 27 months after surgery. Fundoplication virtually eliminated reflux in all but three patients. Control ...

In the last few years, gastro-oesophageal reflux disease has received renewed interest from the ENT specialists. The symptomatology can vary on account of the differences between the gastro-oesophageal reflux and the laryngo-pharyngeal reflux as far as concerns both symptomatology and clinical-pathogenic aspects. The symptoms and the clinical laryngoscopic aspects are discussed.