Surgical management of reflux disease
Siewert, J.R.; Lepsien, G.
Helvetica Chirurgica Acta 47(6): 707-724
1981
ISSN/ISBN: 0018-0181 PMID: 7228721 Document Number: 168837
Surgical therapy of reflux disease aspires to beneficially influence pathogenetic principles. Gastric-proximal vagotomy results in lowered aggressivity of reflux, the Roux-Y-procedure in elimination of bile reflux. Classical antireflux procedures, in particular valvuloplastic types, reduce or eliminate gastroesophageal reflux altogether. The procedure selected among these is to be based on the grade of reflux. Whereas in reflux of more benign character selection of procedures is among the less invasive types, reflux disease classified in stages III and IV requires selection of procedures with known and proven effectivity (valvuloplastic).