[Antireflux plasty. A new path in the management of bleeding esophageal varices].
Early results with a new operative method for the prevention of recurrent hemorrhage of esophageal varices are reported. The principle of this method is the protection of the esophaguscardia region against the corrosion of biliary reflux. The pathogenesis is based on clinical, endoscopic, and experimental findings. The term "Antirefluxplastik" (antirefluxplasty) is chosen for this type of operation. A segment of about 20 cm of the upper jejunum is excluded and retrocolically interposed between the resected stomach and the duodenum. The procedure is completed by a hemifundoplication and a proximal vagotomy. There were 25 patients treated because of recurrent bleeding of esophageal varices. A follow-up was done on 10 patients from 8 to 12 months postoperatively. Lower frequency of hemorrhage in comparison with the preoperative period is demonstrated. Bleeding recurred in only one patient. Endoscopically gastric erosions were proven the source of hemorrhage. These positive intermediate results encourage us to present the "Antirefluxplastik" as an alternative to conventional operations in the surgery of portal hypertension.
D004932:Esophageal and Gastric Varices / Q000150:complications / Q000601:surgery*; D004942:Esophagitis, Peptic / Q000517:prevention & control; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007583:Jejunum / Q000637:transplantation; D008722:Methods; D014182:Transplantation, Autologous
Antirefluxplastik. Ein neuer Weg in der Behandlung blutender Oesophagusvaricen.