New surgical approach to complicated gastroesophageal reflux disease: transthoracic parietal cell vagotomy.
Surgical treatment of peptic stricture of the esophagus associated with columnar (Barrett) metaplasia can be a difficult problem. Collis-Nissen fundoplication restores an intraabdominal antireflux barrier for most cases of peptic stricture; however, 20% of patients may have persistence of pathological acid reflux. By reducing acidity of postoperative reflux, parietal cell vagotomy may complement nonresectional surgical results for Barrett stricture.
Landreneau
R J
RJ
Division of Cardiothoracic Surgery, University of Missouri School of Medicine, Columbia.
Marshall
J B
JB
McClelland
R N
RN
Curtis
J J
JJ
Johnson
J A
JA
Hazelrigg
S R
SR
D004940:Esophageal Stenosis / Q000473:pathology / Q000601:surgery*; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D008297:Male; D008679:Metaplasia; D008875:Middle Aged; D014629:Vagotomy, Proximal Gastric / Q000379:methods*