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The Annals of Thoracic Surgery, Vol 38, 393-399, Copyright © 1984 by The Society of Thoracic Surgeons
NJ Demos
A total of 82 patients with gastroesophageal reflux were consecutively
treated with stapled, uncut gastroplasty and complete fundoplication over a
12-year period. The conditions treated included symptomatic reflux;
esophageal stricture; massive hernia; collagen esophagus; short esophagus;
Barrett's esophagus; recurrent, massive bleeding or anemia; small gastric
remnant after gastrectomy; and acute volvulus. The transthoracic approach
of stapled, uncut gastroplasty gives superb exposure. Outstanding features
of the procedure are the safety and versatility resulting from the small
amount of fundus required, no need either to ligate short gastric vessels
or to suture the esophagus itself, and preservation of anatomical
continuity between the wrapping fundus and the wrapped gastric tubular
segment. There have been no deaths and no cases of anatomical or
symptomatic recurrence in the series. Complications included some
nondebilitating and mainly self- limiting symptoms.
ARTICLES
Stapled, uncut gastroplasty for hiatal hernia: 12-year follow-up
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