反流性食管炎的胃底折叠术：首选手术的意外情况
Fundoplication for reflux esophagitis: misadventures with the operation of choice.
作者信息
Polk H C
出版信息
Ann Surg. 1976 Jun;183(6):645-52. doi: 10.1097/00000658-197606000-00005.
Abstract
Fundoplication, whether performed by thoracic or abdominal approach, is a sound method for control of reflux esophagitis. A series of 312 operations have been reviewed to assess the frequency of complications and the methods by which these can be prevented or treated effectively. Each source of an untoward outcome is examined in detail, and suggestions as to prevention or recognition are advanced. The current low death and complication rates have been lowered even more by a conscious effort to refine the procedure further; such efforts have been associated with a failure rate of less than 5% in a mean followup of 4 years.
摘要
无论采用经胸还是经腹途径进行胃底折叠术，都是控制反流性食管炎的有效方法。回顾了一系列312例手术，以评估并发症的发生率以及有效预防或治疗这些并发症的方法。详细检查了每种不良后果的来源，并提出了预防或识别的建议。通过有意识地进一步完善手术操作，目前较低的死亡率和并发症发生率进一步降低；在平均4年的随访中，这些努力使失败率低于5%。
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