The Treatment of Fibrous Stricture of the Oesophagus Associated with Hiatal Hernia

doi:10.1136/thx.16.1.45

Cited by 17 publications

References 18 publications

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Conservative surgery in reflux stricture of the oesophagus associated with hiatal hernia

Moghissi

1979

British Journal of Surgery

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During a 7-year period, 130 patients with oesophageal stricture resulting from long-standing reflux oesophagitis and hiatal hernia were referred for surgery. Eighty-seven of these patients underwent conservative surgery consisting of intraoperative transgastric retrograde dilatation combined with one of two types of anti-reflux operation: in 34 patients (group 1) an Allison-type operation for hiatal hernia was undertaken, and in the remaining 53 patients (group 2), a Nissen-type fundoplication was carried out. In 22 patients in this latter group the oesophagogastric junction could not be brought down into the abdomen in spite of extensive oesophageal mobilization and the fundoplication was finally placed above the diaphragm. From the successful results in both groups (particularly in group 2), it is concluded that conservative surgery should be considered in cases of hiatal hernia with a reflux stricture that yields to intraoperative dilatation.

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Conservative surgery in reflux stricture of the oesophagus associated with hiatal hernia

Moghissi

1979

British Journal of Surgery

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Barrett's oesophagus

Hennessy

1985

Journal of British Surgery

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The bulk of available evidence supports the view that Barrett's oesophagus is an acquired condition due to chronic gastro-oesophageal reflux. It is possible that a few cases are congenital. Barrett's oesophagus gives rise to severe stricture and ulceration and has a significant malignant potential. Treatment is designed to prevent reflux and, if possible, to reverse the metaplastic change. Dysplasia is of ominous significance and requires frequent careful surveillance.

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History of Medical and Surgical Anti-Reflux Therapy

Ferguson¹

Managing Failed Anti-Reflux Therapy

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The Treatment of Fibrous Stricture of the Oesophagus Associated with Hiatal Hernia

Cited by 17 publications

References 18 publications

Conservative surgery in reflux stricture of the oesophagus associated with hiatal hernia

Conservative surgery in reflux stricture of the oesophagus associated with hiatal hernia

Barrett's oesophagus

History of Medical and Surgical Anti-Reflux Therapy

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