 |
|
Fundoplication for Gastroesophageal RefluxIndications, Surgical Technique, and Manometric Results
F. Henry Ellis, Jr., MD, PhD;
Mamigon Garabedian, MD;
S. Peter Gibb, MD
AMA Arch Surg. 1973;107(2):186-192.
Abstract
Fundoplication (Nissen operation) was employed in 27 patients with hypotension of the inferior esophageal sphincter. In 17 there was an esophageal hiatal hernia; in six patients gastroesophageal reflux followed operative or manipulative procedures on the esophagogastric junction. No anatomic abnormality was detected in three patients, and in one the sphincter had been rendered nonfunctional by slceroderma. Eighty-nine percent of the patients were improved by operation, the results being better in those without shortening of the esophagus or stricture formation or both. Only one patient complained of the "gas bloat" syndrome. Preoperative and postoperative esophageal manometry revealed statistically significant (P <.001) increases in amplitude (5.7 ± 1.1 to 16.3 ± 2.3 mm Hg) and length (2.7 ± 0.3 to 4.8 ± 0.2 cm) of the inferior esophageal sphincter.
Author Affiliations
Boston
From the departments of thoracic and cardiovascular surgery (Dr. Ellis) and gastroenterology (Drs. Garabedian and Gibb), Lahey Clinic Foundation, Boston.
Footnotes
Accepted for publication March 30, 1973.
Read before the 30th annual meeting of the Central Surgical Association, Toronto, Feb 23, 1973.
Reprint requests to Lahey Clinic Foundation, 605 Commonwealth Ave, Boston 02215 (Dr. Ellis).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
The Lower Esophageal Sphincter: Physiologic and Clinical Aspects
CASTELL
ANN INTERN MED 1975;83:390-401.
ABSTRACT
Esophagogastric Fistula: A Complication of Combined Operations for Esophageal Disease
Mullen et al.
Arch Surg 1975;110:826-828.
ABSTRACT
Transthoracic Fundoplication for Short Esophagus in Children
Seashore and Woodward
Arch Surg 1974;109:374-377.
ABSTRACT
|
