Gastroesophageal Reflux Control in Operated Scleroderma Patients

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


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.


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.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Brain RHF (1973) Surgical management of hiatal herniae and oesophageal strictures in systemic sclerosis. Thorax 28: 515–520CrossRefGoogle Scholar
  2. 2.
    Gimmon Z, Katz S, Eyal Z (1982) Surgical aspects of multifocal involvement of the gastrointestinal tract in progressive systemic sclerosis. Int Surg 67: 471–473PubMedGoogle Scholar
  3. 3.
    McLaughlin JS, Roig R, Woodruff MFA (1971) Surgical treatment of strictures of the esophagus in patients with scleroderma. J Thorac Cardiovasc Surg 61: 641–645PubMedGoogle Scholar
  4. 4.
    Poirier TJ, Rankin GB (1972) Gastrointestinal manifestations of progressive systemic scleroderma based on a review of 364 cases. Am J Gastroent 58: 30–44PubMedGoogle Scholar
  5. 5.
    Orringer MB, Dabich L, Zarafonetis CJD, Sloan C (1976) Gastroesophageal reflux in esophageal scleroderma: Diagnosis and implications. Ann Thorac Surg 22: 122–129Google Scholar
  6. 6.
    Henderson RD, Pearson FG (1973) Surgical management of esophageal scleroderma. J Thorac Cardiovasc Surg 66: 686–692PubMedGoogle Scholar
  7. 7.
    Netscher DT, Richardson D (1984) Complications requiring operative intervention in scleroderma. Surg Gynecol Obstet 158: 507–512PubMedGoogle Scholar
  8. 8.
    Payne WS (1970) Surgical treatment of reflux esophagitis and stricture associated with permanent incompetence of the cardia. Mayo Clin Proc 45: 553–562PubMedGoogle Scholar
  9. 9.
    Cameron AV, Payne WS (1978) Barrett’s esophagus occuring as a complication of scleroderma. Mayo Clin Proc 53: 612–615PubMedGoogle Scholar
  10. 10.
    Orringer MB., Orringer JS., Dabich L., Zarafonetis C.: Combined Collis gastroplasty fundoplication operations for scleroderma reflux esophagitis. Surgery, 1981; 90: 624–630.PubMedGoogle Scholar
  11. 11.
    Garrett JM, Winkelmann RK, Code CF (1971) Esophageal deterioration in scleroderma. Mayo Clin Proc 46: 92–96PubMedGoogle Scholar
  12. 12.
    Mansour KA, Malone CE (1988) Surgery for scleroderma of the esophagus: 12 years experience. Ann Thorac Surg 46: 513–514PubMedCrossRefGoogle Scholar

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

Personalised recommendations