Henderson R D, Pearson F G
Ann Thorac Surg. 1976 Sep;22(3):278-83. doi: 10.1016/s0003-4975(10)64916-8.
We have previously reported the results of extended esophageal myotomy and Belsey hiatal hernia repair in 21 patients. Reflux was considered to be a late complication of this operation, and gastroplasty has subsequently been added. Thirty-four patients have now been surgically treated, 17 with myotomy and Belsey repair and 17 with myotomy, gastroplasty, and Belsey repair. Eight of the 17 with Belsey repair developed clinical and roentgenographic signs of reflux 6 to 27 months following operation without evidence of hernia recurrence; 5 of the 8 patients have required further operation, with the addition of gastroplasty for reflux control. Seventeen patients were treated primarily by extended myotomy, gastroplasty, and Belsey repair. None of the patients who underwent gastroplasty have reflux symptoms, and only 1 shows a trace of reflux radiologically.
我们之前报道了对21例患者行扩大食管肌层切开术及贝尔西裂孔疝修补术的结果。反流被认为是该手术的晚期并发症，随后增加了胃成形术。目前已有34例患者接受了手术治疗，其中17例行肌层切开术及贝尔西修补术，17例行肌层切开术、胃成形术及贝尔西修补术。在17例行贝尔西修补术的患者中，有8例在术后6至27个月出现了反流的临床及影像学表现，且无疝复发迹象；这8例患者中有5例需要进一步手术，增加胃成形术以控制反流。17例患者主要接受扩大肌层切开术、胃成形术及贝尔西修补术治疗。接受胃成形术的患者均无反流症状，只有1例在影像学上显示有微量反流。
