The Annals of Thoracic Surgery, Vol 51, 128-130, Copyright © 1991 by The Society of Thoracic Surgeons
New surgical approach to complicated gastroesophageal reflux disease: transthoracic parietal cell vagotomy
RJ Landreneau, JB Marshall, RN McClelland, JJ Curtis, JA Johnson and SR Hazelrigg
Division of Cardiothoracic Surgery, University of Missouri School of Medicine, Columbia.
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.