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Vagotomy and Pyloroplasty in the Surgical Treatment of Hiatus Hernia in Children
Author(s) -
Coupland G. A. E.,
Rickham P. P.
Publication year - 1967
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1967.tb03997.x
Subject(s) - pyloroplasty , medicine , vagotomy , hiatus , surgery , hernia , anastomosis , general surgery , linguistics , philosophy
The place of vagotomy and pyloroplasty in the treatment of 18 children with severe complications of hiatus hernia is discussed. Vagotomy with pyloroplasty was performed in four groups of cases: (a) as a primary procedure with concurrent repair of the hiatus hernia; (b) without repair of the hiatus hernia; (c) after failure of transthoracic repair of hiatus hernia; (d) accompanying excision of a stricture and æsophago‐gastric anastomosis or colon transplant. The importance is stressed of early operation to reduce the acid gastric reflux when marked æsophagitis or stricture is present. The results were good in 16 cases and fair in one, and there was one death.