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胃食管反流的外科治疗(临床贡献)

[Surgical therapy of gastro-esophageal reflux (clinical contribution)].

作者信息

Orcalli F, Montresor E, Carolo F, Abrescia F, Pederzoli P, Schönsberg A

出版信息

Chir Ital. 1984 Dec;36(6):979-85.

PMID:6545159
Abstract

The Authors, on the basis of 119 cases of gastroesophageal reflux, submitted to intervention at the Surgical Department of Verona from 1970 up to 1983, seize this opportunity for some remarks about the problem: in fact, its physiopathology is still discussed, and numerous were the surgical techniques suggested for its treatment. 56 patients, treated according to Nissen-Rossetti's technique, and 16, in whom the antireflux plastic operation was complemented by a selected proximal vagotomy with pyloroplastics, were remote-checked. The good results got till now mean the SPV + P can be usefully associated to the antireflux plastics for hiatal hernia.

摘要

作者基于1970年至1983年在维罗纳外科接受治疗的119例胃食管反流病例,借此机会就该问题发表一些看法:事实上,其生理病理学仍存在争议,且针对其治疗提出了众多手术技术。对56例采用尼森 - 罗塞蒂技术治疗的患者以及16例在抗反流整形手术基础上辅以选择性近端迷走神经切断术加幽门成形术的患者进行了远期检查。目前所取得的良好结果表明,SPV + P可有效地与治疗食管裂孔疝的抗反流整形手术联合使用。

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