[Partial gastrectomy and Roux-en-Y anastomosis in recurrence of reflux following fundus plication].
Roux-en-Y reconstruction has been in use for several years as a reoperation for persistent esophagitis after fundoplication. The limited data in the literature appear to favour this approach. We have conducted a retrospective review of the records of 5 patients who have undergone this type of surgery for persistent reflux in the last four years. In 3 of these patients after fundoplication endoscopy showed grade IV esophagitis, grade III esophagitis in 1, and grade II esophagitis in 1. After Roux-en-Y reconstruction 1 endoscopy showed grade I esophagitis in 1 patient, and grade II esophagitis in 1. Three patients had no evidence of esophagitis and 1 patient was symptom-free and refused endoscopy. These results are in agreement with those in the literature. We conclude that Roux-en-Y diversion is a practicable reoperation after fundoplication and provides good results.
Chirurgische Abteilung, St. Claraspital, Basel.
T
T
Mindermann
J P
JP
Schuppisser
P
P
Tondelli
D000328:Adult; D000368:Aged; D000713:Anastomosis, Roux-en-Y; D005743:Gastrectomy / Q000379:methods*; D005748:Gastric Fundus / Q000601:surgery; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation
Magenteilresektion und Roux-Y-Anastomose bei Refluxrezidiven nach Fundoplicatio.