Surgical Management of Reflux Esophagitis

Holt, Charles J.; Large, Alfred M.

doi:10.1097/00000658-196104000-00019

Cited by 64 publications

(21 citation statements)

References 9 publications

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“…The monkeys in group I1 correspond well with the 8 patients described by Holt and Large (1961), who cured reflux oesophagitis, caused by the long-abandoned cardioplasty operation for achalasia, using the Roux manasuvre.…”

Section: The Degrees Of Oesophagitis Are Summarized Insupporting

confidence: 75%

The importance of bile in reflux oesophagitis and the success in its prevention by surgical means

Gillison

Koyama

Bombeck

et al. 1972

British Journal of Surgery

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Section: The Degrees Of Oesophagitis Are Summarized Insupporting

confidence: 75%

The importance of bile in reflux oesophagitis and the success in its prevention by surgical means

Gillison

Koyama

Bombeck

et al. 1972

British Journal of Surgery

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“…Esophagomyotomy, usually of the modified Heller type, was the next most common previous operation. Ofthe 22 esophagomyotomies, The preoperative diagnosis necessitating the acid-suppression, alkaline-diversion procedure was GERD in all but six patients (Table 2). Five patients with GERD required reoperation because of post-Nissen dysphagia, whereas one patient with achalasia had undergone incomplete myotomy with persistent dysphagia requiring reoperation.…”

Section: Materials and Methods Patientsmentioning

confidence: 99%

Vagotomy, Antrectomy, and Roux-en-Y Diversion for Complex Reoperative Gastroesophageal Reflux Disease

Ellis

Gibb

1994

Annals of Surgery

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ObjectiveFailure of conventional surgical therapy for treatment of patients with gastroesophageal reflux disease (GERD) taxes the ingenuity of the esophageal surgeon. This study defines the role of vagotomy, antrectomy, and Roux-en-Y diversion coupled, when necessary, with resection of the esophagogastric junction as an alternative to other surgical procedures currently employed for these complicated cases. Summary Background DataCurrently, the operation in question rarely is performed in the United States. Other procedures, such as interposition of short or long segments of intestine and total esophagectomy with gastric pull-up, are preferred. However, surgeons from Scandinavia, Great Britain, and Europe have published widely on the subject, some even preferring its use as a primary procedure in GERD. MethodsThis report reviews the indications and results of the operation in 36 patients who underwent operation between January 1970 and January 1994. Follow-up evaluation was available for review in 33 patients observed from 1 to 20 years postoperatively (average, 6 2A years). Of these patients, 32 had undergone 66 previous operative procedures on the distal esophagus and stomach ranging from 1 to 6 per patient. There were no hospital deaths, but complications developed in nine patients (25%); only half of these complications were major. Of patients available for follow-up, 85% were improved by the operation, 24 of the 33 having excellent or good results. ConclusionsThe operation of vagotomy, antrectomy, and Roux-en-Y diversion, embodying the principles of acid suppression and alkaline diversion, has proved to be a successful alternative to other operative procedures currently favored in the United States for the treatment of the complex reoperative patient with GERD. 536

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“…Duodenal diversion is another theoretical option [25][26][27]. Since the original operation in this series was a PG.…”

Section: Discussionmentioning

confidence: 95%

Reflux Stricture of the Esophagus following Partial Gastrectomy for Duodenal Ulcer

Gerzić¹,

Rakic²,

Milićević³

et al. 1992

Dig Surg

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Twenty-five patients developed reflux stricture of the esophagus following partial gastrectomy for duodenal ulcer. Stricture formation was rapid and progressive. Postgastrectomy nasogastric intubation and immobilization were significantly longer in these patients than in controls. Only 9 patients had a dilatable stricture. The dilatability rate was significantly lower than in patients with primary reflux strictures of the esophagus. All patients but 1 failed to respond to conservative management based on gastric secretion blockade and antacids. Following dilatation, surgical control of reflux by conversion or/and antireflux procedure was carried out. Only the conversion of a previous gastrectomy to a Roux-en-Y gastrojejunostomy combined with an antireflux procedure gave satisfactory long-term results, while each of these procedures applied alone was insufficient. Sixteen patients with undilatable stricture underwent resection or bypass procedures. Four patients died. The remaining 12 patients are symptom free and have no endoscopic signs of esophagitis.

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Surgical Management of Reflux Esophagitis

Cited by 64 publications

References 9 publications

The importance of bile in reflux oesophagitis and the success in its prevention by surgical means

The importance of bile in reflux oesophagitis and the success in its prevention by surgical means

Vagotomy, Antrectomy, and Roux-en-Y Diversion for Complex Reoperative Gastroesophageal Reflux Disease

Reflux Stricture of the Esophagus following Partial Gastrectomy for Duodenal Ulcer

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