Transthoracic Nissen fundoplication for gastroesophageal reflux in patients with severe kypho-roto-scoliosis.
Transthoracic Nissen fundoplication was used for the correction of gastroesophageal reflux in five mentally retarded patients with severe kypho-roto-scoliosis. This deformity may result in a gastroesophageal junction so high above the left costal margin that transabdominal fundoplication is extremely difficult. Operative morbidity was minimal. One wrap disruption occurred that required reoperation. Results have been satisfactory 6 to 24 months postoperatively.
Drucker
D E
DE
Department of Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298-0001.
Michna
B A
BA
Krummel
T M
TM
Hunt
P K
PK
Hartenberg
M A
MA
Salzberg
A M
AM
D000293:Adolescent; D000328:Adult; D004947:Esophagus / Q000601:surgery*; D005748:Gastric Fundus / Q000601:surgery*; D005764:Gastroesophageal Reflux / Q000150:complications / Q000601:surgery*; D006801:Humans; D008607:Intellectual Disability / Q000150:complications; D007738:Kyphosis / Q000150:complications*; D008722:Methods; D012600:Scoliosis / Q000150:complications*