Gastroesophageal reflux. Hill-Larrain operation in a series of 50 patients

Abstract

Fifty adult patients (thirty female, nineteen male, age average 50. *) with the diagnosis of pathological gastroesophageal reflux, are presented. Thirty seven of them were labeled as complicated and thirteen as untreatable not complicated. Thirteen of them were stenotic. They were submitted to surgical treatment by the posterior gastropexy of Hill, modified by Larrain. They were selected from patients that for this pathology consulted at the Pablo Tobón Uribe Hospital of Medellín, between August 1979 and August 1986. The average follows up period was 4.4 years. The results obtained were: Visick 1: 70 %, Visick 2:22 %, Visick 3:8 %, Visick 4:0 %. These date mean that 92 % were Visick 1 and 2.
With the stenotic group the results were: Visick 1:61.5 %, Visick 2:30.7 %, Visick 3 7.7 %, Visiek 4:0 %.  This paper ends with a discussion about the results obtained and some comments about topics of controversy.