Mosimann R, Walder J, Buchheim G, Ollyo J B, Loup P, Fasel J
Helv Chir Acta. 1981 Feb;47(6):749-57.
73 patients presenting with hiatus hernia and reflux oesophagitis verified endoscopically, were controlled and checked by endoscopy 5 to 15 years after surgical correction of reflux. In half of these cases the intervention consisted of a "fundoplicatio" and in the other half, of a "hemi-fundoplicatio" or closure of the angle of His. The long-term results show a higher degree of efficiency of the "fundoplicatio" particularly that which concerns the curing of the oesophagitis. The adjunction of a vagotomy-pyloroplasty in 9 patients showed an increase in the frequency of bile reflux in the stomach. The absence of cancer in the oesophagus in the 73 patients controlled after a period of many years, suggests that correction of the reflux and of the oesophagitis constitutes a high measure of efficiency.
73例经内镜证实患有食管裂孔疝和反流性食管炎的患者，在反流手术矫正5至15年后接受了内镜检查和复查。其中一半病例的干预措施是“胃底折叠术”，另一半是“半胃底折叠术”或希氏角闭合术。长期结果显示，“胃底折叠术”的效率更高，尤其是在治愈食管炎方面。9例患者同时进行迷走神经切断术-幽门成形术，结果显示胃内胆汁反流频率增加。73例患者经过多年随访后食管未发生癌变，这表明反流和食管炎的矫正具有很高的效率。
