XXXX in the treatment of complicated @entity10189 .

@entity1 @entity10189 @entity1066 @entity1151 @entity292 @entity354 @entity7623 @entity9317
@entity9317 ( @entity9317 ) has been carried out in 59 @entity1 with complicated forms of @entity10189 (acquired short oesophagus, columnar lined oesophagus, previous oesophagogastric surgery, stenosis). A standard procedure (truncal vagotomy, antrectomy and gastrojejunal anatomosis using a 70 cm Roux-en-Y loop) was performed in 41 @entity1 , and some technical adjustments were required in 18 @entity1 previously operated on. One @entity1 died from @entity1151 . Bowel movements were resumed before the fifth postoperative day in 93 per cent of @entity1 (54/59). Early postoperative complications ( @entity7623 , 5; @entity292 , 1; subsequent operation, 1) occurred in 12 per cent of @entity1 . Stabilization of the @entity354 was achieved in less than 3 months in 95 per cent of cases (55/58). There were two cases of regression of columnar lined oesophagus. A 3-h postprandial pH assessment showed that the reflux had been controlled in 92 per cent of cases (47/51). One @entity1 who still had an acid reflux died subsequently of a perforated oesophageal ulcer. Three anastomotic @entity1066 occurred in eight @entity1 who did not have vagotomy. Digestive side-effects have been observed in nine @entity1 , but only in one case were they crippling. Our results suggest that @entity9317 is a suitable form of treatment for complicated forms of @entity10189 .
