Murray G F, Battaglini J W, Keagy B A, Starek P J, Wilcox B R
Ann Thorac Surg. 1984 Mar;37(3):185-8. doi: 10.1016/s0003-4975(10)60321-9.
Although esophagomyotomy alone may effectively relieve dysphagia in patients with achalasia, utilization of a complementary fundoplication procedure should be considered for selected patients. Fundoplication is a sensible addition to myotomy in circumstances that suggest high risk for the development of reflux esophagitis. Also, in complicated achalasia, relief of esophageal obstruction by simple myotomy may not be achieved safely. Identification of those pathological features associated with achalasia that merit consideration of fundoplication should improve operative results and reduce morbidity. This paper examines the application of a complementary fundoplication procedure in the operative management of 21 patients with achalasia over a ten-year period.
尽管单纯食管肌层切开术可能有效缓解贲门失弛缓症患者的吞咽困难，但对于部分患者，应考虑采用辅助性胃底折叠术。在提示反流性食管炎发生风险较高的情况下，胃底折叠术是肌层切开术的合理补充。此外，在复杂性贲门失弛缓症中，单纯肌层切开术可能无法安全地缓解食管梗阻。识别与贲门失弛缓症相关且值得考虑行胃底折叠术的病理特征，应能改善手术效果并降低发病率。本文探讨了辅助性胃底折叠术在10年间对21例贲门失弛缓症患者手术治疗中的应用。
