Henderson R D
Ann Thorac Surg. 1977 Sep;24(3):206-14. doi: 10.1016/s0003-4975(10)63744-7.
A Belsey gastroplasty was performed on 135 patients, 132 of whom were available for follow-up. Despite a low incidence (1.5%) of anatomical recurrence, the operation failed to control reflux effectively, and the incidence of continued reflux is 44.6%. Because of this failure to control reflux, a Nissen fundoplication has been added to the gastroplasty tube. In a group of 78 patients, radiological recurrence has occurred in 1 patient, with no patient experiencing symptoms of reflux. Manometric comparison between the Belsey and Nissen gastroplasty shows more effective tone elevation of the high pressure zone and a more effective decrease in disordered motor activity of the lower esophagus.
对135例患者实施了贝尔西胃成形术，其中132例可进行随访。尽管解剖学复发率较低（1.5%），但该手术未能有效控制反流，持续反流的发生率为44.6%。由于未能控制反流，已在胃成形术管上加做了nissen胃底折叠术。在一组78例患者中，有1例出现放射学复发，无患者出现反流症状。贝尔西胃成形术和nissen胃成形术的测压比较显示，高压区的张力升高更有效，食管下段运动紊乱的减少更有效。
