title: Surgical aspects of multifocal involvement of the gastrointestinal tract in progressive systemic sclerosis.
abstract: An operative approach to the problem of progressive systemic scleroderma, affecting both the esophagus and duodenum, is demonstrated in the case of a 38-year-old woman severely incapacitated by protracted vomiting. Nissen's fundoplication, antrectomy and Billroth II gastroenterostomy were performed. The need for a comprehensive balanced surgical therapeutic approach in patients suffering from scleroderma is emphasized.
mesh_terms: D000328:Adult; D004386:Duodenum / Q000601:surgery*; D004947:Esophagus / Q000601:surgery*; D005260:Female; D006801:Humans; D012595:Scleroderma, Systemic / Q000601:surgery*