Antrectomy. Roux-en-Y reconstruction and vagotomy for recurrent reflux oesophagitis.

Total duodenal diversion by gastric resection, Roux-en-Y reconstruction and vagotomy has been suggested as treatment of recurrent reflux oesophagitis, to avoid the increased risk of gastric and oesophageal fistulas associated with repeated antireflux surgery. A report is presented of this procedure in six patients with previous failed antireflux surgery. At follow-up (mean 17 months) the result was classified as good in three cases, moderately good in two and poor in one case.