[Total duodenal diversion in reoperations for gastroesophageal reflux. Indications and results in 29 patients].
From January 1980 to December 1991, among 75 patients operated on for failed antireflux procedures, 29 (39%) underwent total duodenal diversion and are the basis of this report. Ten (34%) patients underwent several procedures for reflux disease before admission. Symptoms were observed during the first postoperative year in 80% of the patients. Total duodenal diversion was performed because of: oesophageal stricture (n = 11), hiatal hernia recurrence with impossibility to perform a new antireflux procedure (n = 9), columnar lined oesophagus (n = 6), alkaline reflux (n = 2), and oesophageal motricity disorder (n = 1). At follow-up (mean 32 months), 24 patients (83%) were a symptomatic or had only moderate symptoms.
Panis
Y
Y
Service de Chirurgie Digestive, Université Paris VII, Hôpital Beaujon, Clichy.
Fékété
F
F
D000328:Adult; D000368:Aged; D004386:Duodenum / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation; D017211:Treatment Failure
La diversion duodénale totale dans les réinterventions pour reflux gastro-oesophagien. Indications et résultats chez vingt-neuf patients.