Vidmar S, Benedik M
Acta Chir Iugosl. 1978;25 Suppl 1:43-6.
In seven years we have operated eleven patients with the benign stricture of the distal part of esophagus secondary to the gastroesophageal reflux. We have made Thal's fundoplastic operation in the combination with the fundoplication operation. We are contented with the late results of the operation in eight observed patients. In five cases results of the operation are very good and patients consume food without difficulties. In three cases we have observed stenosis after the operation, successfully treated by dilatation. All these patients were rentogenologically examined and thus patent anastomosis without gastroesophageal reflux was prooved. High mortality (two patients) and morbidity ater the operation are conditional with the age of patients, their bad physical condition due to the malnutrition and the extensive operation. Thus clear indication and the utilization of the conservative treatment of strictures is demanded.
七年来，我们为11例因胃食管反流继发食管远端良性狭窄的患者实施了手术。我们采用了塔尔胃底成形术联合胃底折叠术。我们对8例观察患者的手术远期效果感到满意。5例患者手术效果非常好，进食无困难。3例患者术后出现狭窄，经扩张治疗成功。所有这些患者均接受了X线检查，证实吻合口通畅，无胃食管反流。高死亡率（2例患者）和术后发病率与患者年龄、因营养不良导致的身体状况差以及手术范围大有关。因此，需要明确的手术指征并采用保守的狭窄治疗方法。
