Management of benign oesophageal stricture by total fundoplication gastroplasty. 1995

F D Beggs, and F D Salama, and K R Knowles
Department of Thoracic Surgery City Hospital, Nottingham, UK.

In the Department of Thoracic Surgery, City Hospital, Nottingham, we use total fundoplication gastroplasty routinely in the management of patients with benign peptic strictures who are unresponsive to medical treatment. This is an analysis of our results between 1983 and 1987. Fifty-six patients are included. There was no operative mortality. An overall good result was achieved in 83.9% of the patients. The results were better earlier in the disease (86.7% in grade II and 90.3% in grade I) than later (60% in grade III). We believe that conservative surgery should not be unduly delayed once medical management has failed. We now reserve resection for patients with fibrotic undilatable strictures and failures of conservative surgery.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D004940 Esophageal Stenosis A stricture of the ESOPHAGUS. Most are acquired but can be congenital. Esophageal Stricture,Stenosis, Esophageal,Esophageal Stenoses,Stricture, Esophageal
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D015391 Gastroplasty Surgical procedures involving the STOMACH and sometimes the lower ESOPHAGUS to correct anatomical defects, or to treat MORBID OBESITY by reducing the size of the stomach. There are several subtypes of bariatric gastroplasty, such as vertical banded gastroplasty, silicone ring vertical gastroplasty, and horizontal banded gastroplasty. Collis Gastroplasty,Vertical-Banded Gastroplasty,Gastroplasties,Gastroplasties, Vertical-Banded,Gastroplasty, Collis,Gastroplasty, Vertical-Banded,Vertical Banded Gastroplasty,Vertical-Banded Gastroplasties
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes

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