Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
|
pubmed:dateCreated |
1997-2-18
|
pubmed:abstractText |
From 1976 to 1993, among 582 patients with reflux esophagitis seen at our Institution, 164 (28%) presented with an esophageal stricture, and 68 of these (41%) underwent surgical treatment. The male to female ratio was 1.6:1, and the median age 51 (range 15-78). Thirteen of the 68 patients (19%) had an associated Barrett's esophagus. Esophageal manometry revealed scleroderma in nine individuals (13%). In 11 patients (16%) observed before 1985 the stricture was not dilatable. Surgical therapy consisted of fundoplication (n = 39), Collis gastroplasty plus fundoplication (n = 10), total duodenal diversion (n = 4), and esophageal resection (n = 15). The mortality rate was 4.4%: two patients died of necrosis of the colon transplant and one of acute pancreatitis. The median follow-up was 27 months (6-129). Esophageal sparing procedures significantly reduced the need of further endoscopic dilatation (p < 0.001). Standard fundoplication was successful in 30 of 39 patients (77%). Regression of Barrett's epithelium was not recorded after any of the conservative surgical procedures.
|
pubmed:language |
ita
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
|
pubmed:issn |
0003-469X
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
66
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
621-4
|
pubmed:dateRevised |
2006-11-15
|
pubmed:meshHeading |
pubmed-meshheading:8948799-Adolescent,
pubmed-meshheading:8948799-Adult,
pubmed-meshheading:8948799-Aged,
pubmed-meshheading:8948799-Esophageal Stenosis,
pubmed-meshheading:8948799-Female,
pubmed-meshheading:8948799-Follow-Up Studies,
pubmed-meshheading:8948799-Gastroesophageal Reflux,
pubmed-meshheading:8948799-Humans,
pubmed-meshheading:8948799-Male,
pubmed-meshheading:8948799-Middle Aged
|
pubmed:articleTitle |
[Surgical treatment of esophageal stenosis caused by reflux].
|
pubmed:affiliation |
Istituto di Chirurgia Generale e Oncologia Chirurgica, Università degli Studi di Milano.
|
pubmed:publicationType |
Journal Article,
Clinical Trial,
English Abstract
|