Reflux control following gastroplasty.
A Belsey gastroplasty was performed on 135 patients, 132 of whom were available for follow-up. Despite a low incidence (1.5%) of anatomical recurrence, the operation failed to control reflux effectively, and the incidence of continued reflux is 44.6%. Because of this failure to control reflux, a Nissen fundoplication has been added to the gastroplasty tube. In a group of 78 patients, radiological recurrence has occurred in 1 patient, with no patient experiencing symptoms of reflux. Manometric comparison between the Belsey and Nissen gastroplasty shows more effective tone elevation of the high pressure zone and a more effective decrease in disordered motor activity of the lower esophagus.
D000005:Abdomen; D005500:Follow-Up Studies; D005764:Gastroesophageal Reflux / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D005769:Gastrointestinal Motility; D006801:Humans; D008365:Manometry; D011183:Postoperative Complications; D013270:Stomach / Q000503:physiopathology / Q000601:surgery*; D013909:Thorax