Landreneau R J, Marshall J B, McClelland R N, Curtis J J, Johnson J A, Hazelrigg S R
Division of Cardiothoracic Surgery, University of Missouri School of Medicine, Columbia.
Ann Thorac Surg. 1991 Jan;51(1):128-30. doi: 10.1016/0003-4975(91)90469-7.
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.
与柱状（巴雷特）化生相关的食管消化性狭窄的外科治疗可能是个难题。科利斯-尼森胃底折叠术可为大多数消化性狭窄病例重建腹腔内抗反流屏障；然而，20%的患者可能会持续存在病理性胃酸反流。通过降低术后反流的酸度，壁细胞迷走神经切断术可能会补充针对巴雷特狭窄的非切除性手术效果。
