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Ann Thorac Surg 1976;22:278-283
© 1976 The Society of Thoracic Surgeons

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Articles

Reflux Control Following Extended Myotomy in Primary Disordered Motor Activity (Diffuse Spasm) of the Esophagus

Department of Surgery, Toronto General Hospital, Toronto, Ont, Canada

^* Address reprint requests to Dr. Henderson, Women's College Hospital, 78 Grenville St, Toronto, Ont, Canada.

We have previously reported the results of extended esophageal myotomy and Belsey hiatal hernia repair in 21 patients. Reflux was considered to be a late complication of this operation, and gastroplasty has subsequently been added.

Thirty-four patients have now been surgically treated, 17 with myotomy and Belsey repair and 17 with myotomy, gastroplasty, and Belsey repair. Eight of the 17 with Belsey repair developed clinical and roentgenographic signs of reflux 6 to 27 months following operation without evidence of hernia recurrence; 5 of the 8 patients have required further operation, with the addition of gastroplasty for reflux control. Seventeen patients were treated primarily by extended myotomy, gastroplasty, and Belsey repair. None of the patients who underwent gastroplasty have reflux symptoms, and only 1 shows a trace of reflux radiologically.

This article has been cited by other articles:

				R. D. Henderson and D. E. Ryder Reflux Control Following Myotomy in Diffuse Esophageal Spasm Ann. Thorac. Surg., September 1, 1982; 34(3): 230 - 236. [Abstract] [PDF]

				G. F. Murray Operation for Motor Dysfunction of the Esophagus Ann. Thorac. Surg., February 1, 1980; 29(2): 184 - 191. [Abstract] [PDF]