title: Complications of repeated operations to control esophageal reflux (esophagogastrocutaneous and esophagogastropericardial fistulas).
abstract: Iatrogenic injury to the distal esophagus and gastric cardia with subsequent fistula formation may occur at times following repeated direct operative attempts to control reflux esophagitis. At re-operation when this problem occurs, the indirect operative procedure of Roux-en-Y diversion is a safe, effective and preferable method to control persistent reflux esophagitis.
mesh_terms: D000368:Aged; D003108:Colonic Diseases / Q000209:etiology; D004937:Esophageal Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D005402:Fistula / Q000209:etiology; D005747:Gastric Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D005764:Gastroesophageal Reflux / Q000150:complications / Q000601:surgery*; D006551:Hernia, Hiatal / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010496:Pericardium; D011183:Postoperative Complications; D011859:Radiography; D012871:Skin Diseases / Q000209:etiology