A new balanced operation for complex gastroesophageal reflux disease.
case_series · Level IV
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- Record sourced from PubMed, PMID 1863164.
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Abstract
Twenty-seven patients with advanced gastroesophageal reflux disease have been treated with combined transthoracic parietal cell vagotomy and Collis-Nissen fundoplication. Gastric acid analyses (n = 20) obtained preoperatively and 6 months postoperatively demonstrated a significant late reduction in gastric acid output. Twenty-six patients (96%) have experienced relief of gastroesophageal reflux disease at a mean of 13.3 months (range, 6 to 25 months) without postvagotomy symptoms. Transthoracic parietal cell vagotomy may be considered as an adjunct to mechanical surgical control of advanced gastroesophageal reflux disease.
Medical subject headings
- Esophagus
- Gastric Fundus
- Gastroesophageal Reflux
- Vagotomy, Proximal Gastric