INITIAL EXPERIENCE WITH THE SURGICAL-MANAGEMENT OF MORBID-OBESITY ASSOCIATED WITH SYMPTOMATIC GASTROESOPHAGEAL REFLUX - A COMPARISON BETWEEN GASTROPLASTY ALONE AND GASTROPLASTY WITH ANTERIOR FUNDOPLICATION

被引：2

作者：

CHIASSON, PM ^{[1
]}

PEREY, BJ ^{[1
]}

VANZANTEN, SJOV ^{[1
]}

机构：

[1] DALHOUSIE UNIV,DEPT SURG,HALIFAX B3H 4H2,NS,CANADA

来源：

OBESITY SURGERY | 1994年 / 4卷 / 04期

关键词：

GASTROESOPHAGEAL REFLUX; MORBID OBESITY; GASTROPLASTY; ANTERIOR FUNDOPLICATION;

D O I：

10.1381/096089294765558304

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The optimal management of patients with morbid obesity and gastro-esophageal reflux disease (GERD) remains an unresolved issue. We have performed a vertical banded gastroplasty combined with an anterior fundoplication (VBG + AF) in 28 selected morbidly obese patients with moderate or severe heartburn. The patients who underwent VBG + AF are compared to patients who had similar heartburn symptoms and underwent gastroplasty alone during this period. In the VBG + AF group there were two treatment failures (7%). In the gastroplasty group there were 63 patients with 15 treatment failures (24%). These differences were independent of demographic and weight loss variables. These results suggest that VBG + AF may provide a superior option for the management of morbidly obese patients with GERD.

引用

页码：340 / 343

页数：4