Nissen-Rossetti fundoplication for the treatment of gastro-oesophageal reflux.
Nissen-Rossetti fundoplication for the treatment of gastro-oesophageal reflux.
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Nissen-Rossetti 胃底折叠术用于治疗胃食管反流。
DOI：
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发表时间：
1982
期刊：
影响因子：
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通讯作者：
M. Matikainen
中科院分区：
文献类型：
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作者：
M. Matikainen
1978年至1979年共施行胃底折叠术20例。所有这些患者都有异常的食管酸反流，表现为18小时pH监测的远端食管。他们也有这种反流的并发症，即食管溃疡或狭窄形成。术后2个月及术后5-22个月（平均13.3个月）复查。术后患者满意度高，食管炎全部治愈。食管从35.8 +/- S.D. 1.85 cm至38.7 +/- S.D. 2.25内镜下测量的胃底折叠术后cm（p <0.05）。这种手术的成功机制可能与LES返回腹腔内有关，但也可能是一种扑动阀机制。
During 1978 and 1979 20 patients were subjected to fundoplication. All these patients had abnormal oesophageal acid reflux as demonstrated by 18-hour pH-monitoring of the distal oesophagus. They had also complications of this reflux, i.e. oesophageal ulcerations or stricture formation. The patients were reexamined two months postoperatively and 5-22 (mean 13.3) months after operation. The patients' satisfaction was high after operation and the oesophagitis was cured in all. The oesophagus was lengthened from 35.8 +/- S.D. 1.85 cm to 38.7 +/- S.D. 2.25 cm after fundoplication (p less than 0.05) as measured by endoscopy. The mechanism of success of this operation may be related to the return of LES to the intra-abdominal compartment, but also a flutter valve mechanism may be operative.