经胸nissen胃底折叠术治疗重度脊柱后凸-脊柱侧凸患者的胃食管反流

Transthoracic Nissen fundoplication for gastroesophageal reflux in patients with severe kypho-roto-scoliosis.

作者信息

Drucker D E, Michna B A, Krummel T M, Hunt P K, Hartenberg M A, Salzberg A M

机构信息

Department of Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298-0001.

出版信息

J Pediatr Surg. 1989 Jan;24(1):46-7; discussion 47. doi: 10.1016/s0022-3468(89)80299-4.

DOI:10.1016/s0022-3468(89)80299-4

PMID:2723993

Abstract

Transthoracic Nissen fundoplication was used for the correction of gastroesophageal reflux in five mentally retarded patients with severe kypho-roto-scoliosis. This deformity may result in a gastroesophageal junction so high above the left costal margin that transabdominal fundoplication is extremely difficult. Operative morbidity was minimal. One wrap disruption occurred that required reoperation. Results have been satisfactory 6 to 24 months postoperatively.

摘要

经胸nissen胃底折叠术用于矫正5例患有严重脊柱后凸-脊柱侧凸的智力迟钝患者的胃食管反流。这种畸形可能导致胃食管交界处高于左肋缘，以至于经腹胃底折叠术极其困难。手术并发症极少。发生了1例包绕破裂，需要再次手术。术后6至24个月的结果令人满意。