Esophagocardioplasty, vagotomy-antrectomy and Roux-en-Y gastrojejunostomy: indication in cases with severe esophageal motor disfunction

Summary Almost 10% of patients with Crest syndrome associated with severe gastroesophageal reflux and 5–10% of patients with failed cardiomyotomy for achalasia present with cardial or distal esophageal organic stricture. Some of these cases are poor risk patients for surgery and therefore the surgeo...

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Bibliographic Details
Published in:Diseases of the esophagus 1998, Vol.11 (1), p.58-61
Main Authors: Braghetto, I., Korn, O., Csendes, A., Frias, J. C.
Format: Article
Language:English
Subjects:
Adult
Aged
Anastomosis, Roux-en-Y
Cardia - surgery
CREST Syndrome - surgery
Esophageal Motility Disorders - surgery
Esophageal Stenosis - surgery
Esophagoplasty
Female
Gastric Bypass
Humans
Male
Middle Aged
Patient Selection
Pyloric Antrum - surgery
Vagotomy
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Summary:Summary Almost 10% of patients with Crest syndrome associated with severe gastroesophageal reflux and 5–10% of patients with failed cardiomyotomy for achalasia present with cardial or distal esophageal organic stricture. Some of these cases are poor risk patients for surgery and therefore the surgeon must offer a safe procedure with low morbimortality, keeping in mind the pathophysiological motor pattern of these patients. In order to treat the stricture to improve the esophageal transit we treated patients with esophagocardioplasty associated with vagotomy-antrectomy and Roux-en-Y gastrojejunostomy, thereby avoiding the potential acid or biliary reflux in poor risk patients in whom esophagectomy would be a very deleterious procedure. All four patients had a good postoperative evolution and late control demonstrated good esophagogastric transit with no postoperative esophagitis.
ISSN:1120-8694
1442-2050
DOI:10.1093/dote/11.1.58