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Rodney J. Landreneau
Joel A. Johnson
Stephen R. Hazelrigg
Jack J. Curtis
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Ann Thorac Surg 1991;52:325-327
© 1991 The Society of Thoracic Surgeons

Articles

A new balanced operation for complex gastroesophageal reflex disease

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

* Address reprint requests to Dr Landreneau, Section of Thoracic Surgery, University of Pittsburgh, Montefiore Uuiversity Hospital, 3459 Fifth Ave, Pittsburgh, PA 15213.

Twenty-seven patients with advanced gastroesophageal reflux disease have been treated with combined transthoracic parietal cell vagotomy and Collis-Nissen fundoplication. Gastric acid analyses (n = 20) obtained preoperatively and 6 months postoperatively demonstrated a significant late reduction in gastric acid output. Twenty-six patients (96%) have experienced relief of gastroesophageal reflux disease at a mean of 13.3 months (range, 6 to 25 months) without postvagotomy symptoms. Transthoracic parietal cell vagotomy may be considered as an adjunct to mechanical surgical control of advanced gastroesophageal reflux disease.






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Copyright © 1991 by The Society of Thoracic Surgeons.