REOPERATION FOR FAILED ANTIREFLUX SURGERY

被引：11

作者：

MARTIN, CJ

CROOKES, PF

机构：

[1] University Department of Surgery, St Vincent's Hospital, Fitzroy, Victoria

来源：

AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY | 1990年 / 60卷 / 10期

关键词：

antireflux surgery; dysphagia; gastro‐oesophageal reflux;

D O I：

10.1111/j.1445-2197.1990.tb07472.x

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The management of patients with an unsatisfactory result following antireflux surgery is often problematical. Ten such patients with failed antireflux surgery, for whom medical management had also subsequently failed, underwent reoperation via a thoraco‐abdominal approach. The anatomical cause of the surgical failure was determined pre‐operatively in most cases by endoscopy, radiology, manometry and 24‐hour pH monitoring. The most common reason for failure was a slipped Nissen fundoplication. A tight wrap, a disrupted wrap and a fundoplication hernia were less common cause. At folow‐up, only one patient had a poor result. Reoperation for failed antireflux surgery can yield good results and is facilitated by pre‐operative defintion of the cause of failure and wide operative exposure. Copyright © 1990, Wiley Blackwell. All rights reserved

引用

页码：773 / 778

页数：6

共 17 条

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