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Gastroesophageal Reflux Control in Operated Scleroderma Patients

  • A. Duranceau
  • P. Topart
  • C. Deschamps
  • R. Taillefer
Conference paper

Summary

Over a 14-year period, 12 patients with documented scleroderma had an antireflux operation: eight short total fundoplication, two Collis-Nissen, one Collis-Belsey, and one Roux-en-Y. They were assessed before and after their operation with a follow-up range of 14–169 months (mean, 71 months) (Table 1). The functional abnormalities of scleroderma remained unchanged following antireflux surgery. Despite a decrease in total acid exposure, 6/12 patients still show significant episodes of acid pH in their esophagus, causing symptoms in 5. The esophageal mucosa reverted to normal in two patients. Ten of 12 still show extensive columnar lined mucosa. Despite a total fundoplication in 10/12 patients, significant acid exposure persists in 50% of operated scleroderma patients.

Keywords

Lower Esophageal Sphincter Antireflux Operation Esophageal Mucosa Reflux Episode Esophageal Body 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Tokyo 1993

Authors and Affiliations

  • A. Duranceau
  • P. Topart
  • C. Deschamps
  • R. Taillefer
    • 1
  1. 1.Department of Surgery, Division of Thoracic SurgeryUniversité de MontréalMontrealCanada

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