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The Annals of Thoracic Surgery, Vol 52, 325-326, Copyright © 1991 by The Society of Thoracic Surgeons

ARTICLES

A new balanced operation for complex gastroesophageal reflux disease

RJ Landreneau, JB Marshall, JA Johnson, TM Boley, SR Hazelrigg, JJ Curtis and RN McClelland
Division of Cardiothoracic Surgery, University of Missouri School of Medicine, Columbia.

Twenty-seven patients with advanced gastroesophageal reflux disease have been treated with combined transthoracic parietal cell vagotomy and Collis-Nissen fundoplication. Gastric acid analyses (n = 20) obtained preoperatively and 6 months postoperatively demonstrated a significant late reduction in gastric acid output. Twenty-six patients (96%) have experienced relief of gastroesophageal reflux disease at a mean of 13.3 months (range, 6 to 25 months) without postvagotomy symptoms. Transthoracic parietal cell vagotomy may be considered as an adjunct to mechanical surgical control of advanced gastroesophageal reflux disease.




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Copyright © 1991 by The Society of Thoracic Surgeons.