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Rodney J. Landreneau
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Joel A. Johnson
Stephen R. Hazelrigg
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Ann Thorac Surg 1991;51:128-130
© 1991 The Society of Thoracic Surgeons

Articles

New surgical approach to complicated gastroesophageal reflux disease: Transthoracic parietal cell vagotomy

Rodney J. Landreneau, MD*,a,b, John B. Marshall, MDa,b, Robert N. McClelland, MDa,b, Jack J. Curtis, MDa,b, Joel A. Johnson, MDa,b, Stephen R. Hazelrigg, MDa,b

a Divisions of Cardiothoracic Surgery and Gastroenterology, University of Missouri School of Medicine, Columbia, Missouri USA
b Department of Surgery, The University of Texas Southwestern Medical School, Dallas, Texas USA

Accepted for publication June 29, 1990.

* Address reprint requests to Dr Landreneau, Section of Thoracic Surgery, University of Pittsburgh, Montefiore University Hospital, 5th Floor East, 3459 5th Ave, Pittsburgh, PA 15213.

Surgical treatment of peptic stricture of the esophagus associated with columnar (Barrett) metaplasia can be a difficult problem. Collis-Nissen fundoplication restores an intraabdominal antireflux barrier for most cases of peptic stricture; however, 20% of patients may have persistence of pathological acid reflux. By reducing acidity of postoperative reflux, parietal cell vagotomy may complement nonresectional surgical results for Barrett stricture.




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 Ann. Thorac. Surg.Home page
R. J. Landreneau, J. B. Marshall, J. A. Johnson, T. M. Boley, S. R. Hazelrigg, J. J. Curtis, and R. N. McClelland
A new balanced operation for complex gastroesophageal reflex disease
Ann. Thorac. Surg., August 1, 1991; 52(2): 325 - 327.
[Abstract] [PDF]


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