Abstract
Eighteen patients ranging in age from 32–82 years with benign distal esophageal stricture underwent and survived fundic patch operation. Twelve of these patients had undergone esophageal dilatation but without success. Five had had surgery for hiatal hernia using Hill, Belsey or Lortat-Jacob techniques. Middle laparotomy was done in five and left thoracotomy in thirteen. A fundic patch with a 270° fundoplication was performed in seven an a fundic patch with 360° fundoplication in the remaining eleven. The average hospital stay was 12.3 days. Dysphagia disappeared in seventeen and persisted for eight months in one patient. Three patients required instrumental dilatation for a few months. Endoscopic examination, pH study and X-ray fluoroscopy were done. Gastroesphageal reflux was nil in patients treated with Nissen's 360° fundoplication and three of these 7 patients without Nissen's fundoplication had gastroesophageal reflux. Epithelization of the patched esophageal wound was evident 6 months after the operation.
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Moreno, G.E., Garcìa, G.J.I., Landa, G.I. et al. Results of fundic patch operation for severe stricture of the esophagus. The Japanese Journal of Surgery 13, 337–340 (1983). https://doi.org/10.1007/BF02469516
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DOI: https://doi.org/10.1007/BF02469516