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A Simplified Transabdominal Surgical Treatment

Earl C. Sifers, MD; Lawrence L. Tretbar, MD

AMA Arch Surg. 1973;107(2):195-200.

Abstract
One hundred-sixty patients were treated surgically with a valvuloplasty technique for gastroesophageal reflux and esophagitis. All but nine patients had a sliding hiatal hernia. In no case was the hernia repaired.

The surgical approach, a reefing of the sling muscles plus vagotomy, was designed to restore competence to the antireflux mechanisms of the gastroesophageal area.

Ninety-two percent of the patients remain symptom-free, while 8% are occasionally symptomatic.

The high incidence of associated foregut diseases suggests an embryologic factor in the development of gastroesophageal reflux.

Author Affiliations
Kansas City, Kan

From the Department of General Surgery, Bethany Medical Center, Kansas City, Kan.

Footnotes
Accepted for publication April 30, 1973.

Read before the 30th annual meeting of the Central Surgical Association, Toronto, Feb 23, 1973.

Reprint requests to 155 S 18th St, Kansas City, KS (Dr. Sifers).

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