New surgical approach to complicated gastroesophageal reflux disease: transthoracic parietal cell vagotomy.
case_report · Level V
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Abstract
Surgical treatment of peptic stricture of the esophagus associated with columnar (Barrett) metaplasia can be a difficult problem. Collis-Nissen fundoplication restores an intraabdominal antireflux barrier for most cases of peptic stricture; however, 20% of patients may have persistence of pathological acid reflux. By reducing acidity of postoperative reflux, parietal cell vagotomy may complement nonresectional surgical results for Barrett stricture.
Medical subject headings
- Esophageal Stenosis
- Gastroesophageal Reflux
- Vagotomy, Proximal Gastric