La terapia chirurgica delle stenosi esofagee da reflusso.

Translated title of the contribution: Surgical treatment of esophageal stenosis caused by reflux

L. Bonavina, A. Segalin, M. Pavanello, C. Faranda, U. Cioffi, A. Peracchia

Research output: Contribution to journalArticlepeer-review

Abstract

From 1976 to 1993, among 582 patients with reflux esophagitis seen at our Institution, 164 (28%) presented with an esophageal stricture, and 68 of these (41%) underwent surgical treatment. The male to female ratio was 1.6:1, and the median age 51 (range 15-78). Thirteen of the 68 patients (19%) had an associated Barrett's esophagus. Esophageal manometry revealed scleroderma in nine individuals (13%). In 11 patients (16%) observed before 1985 the stricture was not dilatable. Surgical therapy consisted of fundoplication (n = 39), Collis gastroplasty plus fundoplication (n = 10), total duodenal diversion (n = 4), and esophageal resection (n = 15). The mortality rate was 4.4%: two patients died of necrosis of the colon transplant and one of acute pancreatitis. The median follow-up was 27 months (6-129). Esophageal sparing procedures significantly reduced the need of further endoscopic dilatation (p <0.001). Standard fundoplication was successful in 30 of 39 patients (77%). Regression of Barrett's epithelium was not recorded after any of the conservative surgical procedures.

Translated title of the contributionSurgical treatment of esophageal stenosis caused by reflux
Original languageItalian
Pages (from-to)621-624
Number of pages4
JournalAnnali Italiani di Chirurgia
Volume66
Issue number5
Publication statusPublished - Sep 1995

ASJC Scopus subject areas

  • Surgery

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