[Reconstruction of the gastroesophageal sphincter in reflux disease].
Valvuloplasties of which, for example, the Nissen fundoplication is perhaps the most effective operation, have been devised to correct gastroesophageal reflux. Fundopexia, a more anatomical antireflux procedure has been performed in 326 patients with 80% good (Visick I + II) clinical results. Postoperative complications and side effects are more frequent after fundoplication. In grade IV patients fundopexia is less successful. Since the introduction of H2-receptor antagonists the number of operations, especially fundopexia, has been considerably reduced.
D004943:Esophagogastric Junction / Q000601:surgery*; D005500:Follow-Up Studies; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006551:Hernia, Hiatal / Q000601:surgery; D006801:Humans; D008365:Manometry; D011183:Postoperative Complications / Q000209:etiology; D012008:Recurrence; D013536:Suture Techniques
Wiederherstellung des gastrooesophagealen Verschlusses bei Refluxkrankheit.