title: Transthoracic Nissen fundoplication for gastroesophageal reflux in patients with severe kypho-roto-scoliosis.
abstract: 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.
authors.affiliation: Department of Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298-0001.
authors.forename: D E
authors.initials: DE
authors.lastname: Drucker
authors.forename: B A
authors.initials: BA
authors.lastname: Michna
authors.forename: T M
authors.initials: TM
authors.lastname: Krummel
authors.forename: P K
authors.initials: PK
authors.lastname: Hunt
authors.forename: M A
authors.initials: MA
authors.lastname: Hartenberg
authors.forename: A M
authors.initials: AM
authors.lastname: Salzberg
mesh_terms: 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*