[Treatment of hiatus hernia with gastro-oesophageal reflux. Sheathing of the abdominal oesophagus by plication of the lesser curvature after hyperselective vagotomy (author's transl)].

Sheathing the abdominal part of the oesophagus with a fold from the lesser curvature after enervation of the latter by hyperselective vagotomy is a method which aims at restoring valvular continence without pexis and which complies with the conflicting requirements of this digestive meeting-point: to prevent gastro-oesophageal reflux, yet allowing the occasional belching or vomiting. Easy to perform through an abdominal incision, it is free from the risks and hypercorrection defects of Nissen's operation and appears to be as effective, judging from the satisfactory results obtained in 15 patients followed-up for 2 years.