PMID: 11901928Mar 21, 2002Paper

Roux-en-Y long limb diversion as the first option for patients who have Barrett's esophagus

Chest Surgery Clinics of North America
Attila CsendesOwen Korn

Abstract

In summary, vagotomy plus antrectomy and the Roux-en-Y procedure is based on the following points: (a) patients who have BE show several foregut abnormalities, including incompetent lower esophageal sphincter, impairment in the esophageal clearance, severe gastroesophageal acid reflux, and frequent duodenoesophageal reflux; (b) late results of classic antireflux procedure in BE are poor with a high recurrence rate owing to a progressive loosening of the wrap; (c) the esophageal damage is produced by the injurious component of the refluxate; and (d) among patients who underwent classic antireflux surgery, a certain proportion developed dysplasia or even adenocarcinoma in the follow-up. The authors have observed that the simple correction of the valve is not enough in many cases, because it does not abolish the gastroesophageal reflux but only diminishes it. In patients who have BE and therefore have impaired esophageal clearance, few reflux episodes can maintain or even induce more damage. With the reduction diversion antireflux procedure, the quality of the corrected valve is secondary, and the main goal is to avoid the reflux of injurious components of the refluxate instead of the refluxate itself, which is almost always impos...Continue Reading

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Citations

Mar 29, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Valerie A WilliamsJeffrey H Peters
Jul 10, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Attila CsendesAna María Burgos
Oct 31, 2003·Journal of the American College of Surgeons·Attila Csendes
Sep 14, 2004·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·I BraghettoO Korn
Jul 28, 2005·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·I BraghettoF Undurraga
Apr 29, 2006·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·M L Kendrick, S G Houghton
Nov 21, 2014·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Paulo Afonso Nunes NassifBruno Luiz Ariede
Aug 29, 2019·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Italo Braghetto, Attila Csendes
Mar 29, 2003·ANZ Journal of Surgery·Reginald V N Lord
Dec 4, 2008·The Annals of Thoracic Surgery·Xavier Benoit D'JournoAndré Duranceau

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