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Ann Thorac Surg 1977;24:206-214
© 1977 The Society of Thoracic Surgeons

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Articles

Reflux Control Following Gastroplasty

From the Department of Surgery, University of Toronto, Faculty of Medicine, Toronto, Ont, Canada

^* Address reprint requests to Dr. Henderson, Department of Surgery, Women's College Hospital, 76 Grenville St, Toronto, Ont, Canada M58 1B2

A Belsey gastroplasty was performed on 135 patients, 132 of whom were available for follow-up. Despite a low incidence (1.5%) of anatomical recurrence, the operation failed to control reflux effectively, and the incidence of continued reflux is 44.6%. Because of this failure to control reflux, a Nissen fundoplication has been added to the gastroplasty tube.

In a group of 78 patients, radiological recurrence has occurred in 1 patient, with no patient experiencing symptoms of reflux. Manometric comparison between the Belsey and Nissen gastroplasty shows more effective tone elevation of the high pressure zone and a more effective decrease in disordered motor activity of the lower esophagus.

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