Tomlinson P, Grant A F
Aust N Z J Surg. 1981 Feb;51(1):48-51. doi: 10.1111/j.1445-2197.1981.tb05904.x.
A survey is presented of 74 patients with achalasia of the the oesophagus treated surgically at the Royal Prince Alfred Hospital, Sydney, Australia. This survey spans a 27-year period. Thirty-nine patients underwent Heller's operation, 23 (58.9%) had excellent results six months after operation, and 17 (43.5%) still had excellent results more than two years after operation. This group had a high recurrence of symptoms due to oesophageal reflux (30.8%) and the development of strictures (20.5%) at the lower end of the oesophagus. Thirty-five patients underwent Heller's operation together with Nissen fundoplication. Thirty-two patients (91.4%) in this group had excellent results six months after operation, and 30 of these patients (85.7%) still had excellent results more than two years after operation. These results suggest that symptoms of oesophageal reflux and subsequent oesophageal stricture following Heller's operation for achalasia can be considerably reduced, if not prevented, by Nissen fundoplication--a reflux-preventing procedure.
对澳大利亚悉尼皇家阿尔弗雷德王子医院接受手术治疗的74例食管贲门失弛缓症患者进行了一项调查。该调查跨越27年。39例患者接受了赫勒氏手术，其中23例（58.9%）术后6个月效果极佳，17例（43.5%）术后两年多仍效果极佳。该组因食管反流出现症状的复发率较高（30.8%），且食管下端出现狭窄的发生率为（20.5%）。35例患者接受了赫勒氏手术并加做了nissen胃底折叠术。该组32例患者（91.4%）术后6个月效果极佳，其中30例患者（85.7%）术后两年多仍效果极佳。这些结果表明，对于贲门失弛缓症患者，在进行赫勒氏手术时加做nissen胃底折叠术（一种预防反流的手术），即便不能预防，也可显著降低食管反流症状及随后食管狭窄的发生率。
