Agha F P, Trenkner S W, Orringer M B, Vinh P N
AJR Am J Roentgenol. 1985 Oct;145(4):729-34. doi: 10.2214/ajr.145.4.729.
The combined Collis gastroplasty-Nissen fundoplication consists of a combination of an esophagus-lengthening Collis gastroplasty with 360 degrees complete Nissen fundoplication operation. This report reviews the clinical and radiographic features of 60 consecutive patients who underwent this operation for the control of symptomatic gastroesophageal reflux. The surgical procedure, the technique of postoperative radiographic examination, normal radiographic anatomy, and abnormalities detectable radiographically are briefly described. All patients were examined on the seventh postoperative day initially with iodinated water-soluble contrast medium followed by barium to establish integrity of the gastroplasty tube, fundoplication wrap, and dilated esophageal stricture. Later in the postoperative period, elective barium esophagrams were prompted by complaints of dysphagia (three patients) and symptoms of gastroesophageal reflux (five patients).
科利斯胃成形术-尼森胃底折叠术联合手术包括食管延长的科利斯胃成形术与360度完全尼森胃底折叠术相结合。本报告回顾了连续60例接受该手术以控制症状性胃食管反流患者的临床和影像学特征。简要描述了手术过程、术后影像学检查技术、正常影像学解剖结构以及影像学可检测到的异常情况。所有患者在术后第7天最初使用碘化水溶性造影剂进行检查,随后使用钡剂以确定胃成形术管、胃底折叠术包裹物和扩张的食管狭窄的完整性。在术后后期,因吞咽困难(3例患者)和胃食管反流症状(5例患者)而进行了选择性钡剂食管造影检查。