Gastroesophageal reflux. Hill-Larrain operation in a series of 36 patients

Abstract

Thirty six adult patients (eleven male, twenty five female. age average fifty one) with the diagnosis of pathological gastroesophageal reflux, are presented. Twenty five of then were labeled as complicated and eleven as untreatable not complicated. Nine of them were stenotic. They were submitted to surgical treatment by the posterior gastropexia of Hill, modified by Larrain. They were selected from patients that for this pathology consulted at the Pablo Tobon Uribe Hospital of Medellin, between August 1979 and April 1984, The average follow up period was three years, The results obtained were: Visick 1: 17%, Visick 2: 16,6%, Visick 3: 2,7%, Visick 4: 2,7%, These date mean that 94,3% were Visick 1 and 2. With the stenotic group the results werc: Visick 1: 77%, Visick 2: 23%. This paper ends with a discussion about the results obtained and some comments about topics of controversy.