Gatzinsky P, Granerus G, Sandberg N
Acta Chir Scand. 1980;146(8):591-5.
The indications for surgical procedures reducing gastric acid secretion in patients with hiatal hernia and symptomatic gastroesophageal reflux remain unclear. In a study of the postoperative results in 40 patients operated upon with modified Husfeldt hernia repair only, the results were assessed in relation to BAO and PAO. No correlation was found between the clinical results and BAO or PAO in patients in whom the reflux was successfully corrected by the procedure. It is concluded that gastric acid-reducing procedures are not indicated in patients in whom correction of reflux is anticipated.
对于患有食管裂孔疝和症状性胃食管反流的患者,减少胃酸分泌的外科手术指征仍不明确。在一项仅对40例行改良胡斯费尔特疝修补术患者的术后结果研究中,根据基础胃酸分泌量(BAO)和最大胃酸分泌量(PAO)对结果进行了评估。在手术成功纠正反流的患者中,未发现临床结果与BAO或PAO之间存在相关性。得出的结论是,对于预期反流可得到纠正的患者,不建议采用减少胃酸的手术。