[Surgical treatment of peptic stenosis of the esophagus].
36 patients with peptic strictures were operated between 1981 and 1987. 40 operations performed because 4 recurrences after a first intervention obliged to a re-operation. The conservative procedure was used in 29 cases (72.5%). A resection had to be done in 11 cases (27.5%), with 3 re-operations after a first conservative treatment. 1 patient died in hospital. The follow up concerns all patient after a minimum of 2 years. 31 patients (88%) remained symptom free, but 4 patients required further surgery. No mortality and a low morbidity with conservative surgical method were observed. The rate of success was 76% with 24% of recurrence. For us, the best conservative method is total fundoplicatio if possible (sometimes on a gastric cone in case of reflux stricture with shortening of the esophagus). The duodenal diversion is recommended if approach of hiatus is too difficult (re-operation) and in case of alkaline reflux.
Ducerf
C
C
Clinique chirurgicale A, Hôpital de la Croix-Rousse, Lyon.
Baulieux
J
J
Caillon
P
P
Pouyet
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000713:Anastomosis, Roux-en-Y; D000714:Anastomosis, Surgical; D001466:Barium Sulfate; D003106:Colon / Q000601:surgery; D004386:Duodenum / Q000601:surgery; D004733:Enema; D004940:Esophageal Stenosis / Q000175:diagnosis / Q000601:surgery*; D004942:Esophagitis, Peptic / Q000175:diagnosis / Q000601:surgery*; D004945:Esophagoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation
D001466:Barium Sulfate
Traitement chirurgical des sténoses peptiques de l'oesophage.