Faculty Collaboration Database

Effective surgical therapy of esophagitis. Experience with Belsey, Hill, and Nissen operations. Arch Surg 1979 Apr;114(4):536-41

Date

04/01/1979

Pubmed ID

435070

DOI

10.1001/archsurg.1979.01370280190032

Scopus ID

2-s2.0-0018379203 (requires institutional sign-in at Scopus site)   25 Citations

Abstract

During the years 1971 to 1978, 252 patients needed surgical treatment of primary or secondary esophagitis. Major operations performed were 73 Belsey Mark IV repairs, 55 Hill repairs, and 129 Nissen repairs. In the group with primary reflux, barium swallow tests and endoscopy were useful in confirming the diagnosis in patients with typical symptoms; routine biopsy, lower esophageal sphincter, manometry or an acid infusion test did not add to diagnostic certitude. If symptoms were atypical, a biopsy was helpful but manometry and acid infusion were not. Mean symptom scores in this group of patients were improved by each of the "valve-building" operations. Intraoperative dilation after mobilization of the esophagus coupled with a valve-building operation was successful in managing 26 of 29 strictures. Reoperation after an operation failed carried appreciable morbidity and mortality but resulted in good control of symptoms. Addition of a Belsey or Nissen procedure to myotomy for management of primary esophageal motility disorders diminished symptoms and did not cause disabling obstruction.

Author List

Sillin LF, Condon RE, Wilson SD, Worman LW

MESH terms used to index this publication - Major topics in bold

Collagen Diseases
Dilatation
Endoscopy
Esophageal Achalasia
Esophageal Stenosis
Esophagitis, Peptic
Hernia, Hiatal
Humans
Hydrochloric Acid
Manometry
Postoperative Complications
Stomach