1445-2197/asset/cover.gif?v=1&s=b1bbbd01705b3f396e514cdc1034f782390bb304 "Australian and New Zealand Journal of Surgery")
The Royal North Shore Hospital of Sydney.
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Vagotomy and Pyloroplasty in the Surgical Treatment of Hiatus Hernia in Children
Article first published online: 21 JAN 2008
DOI: 10.1111/j.1445-2197.1967.tb03997.x
Additional Information
How to Cite
Coupland, G. A. E. and Rickham, P. P. (1967), Vagotomy and Pyloroplasty in the Surgical Treatment of Hiatus Hernia in Children. Aust. N.Z. J. Surg., 37: 121–124. doi: 10.1111/j.1445-2197.1967.tb03997.x
Publication History
- Issue published online: 21 JAN 2008
- Article first published online: 21 JAN 2008
- Abstract
- References
- Cited By
The place of vagotomy and pyloroplasty in the treatment of 18 children with severe complications of hiatus hernia is discussed. Vagotomy with pyloroplasty was performed in four groups of cases: (a) as a primary procedure with concurrent repair of the hiatus hernia; (b) without repair of the hiatus hernia; (c) after failure of transthoracic repair of hiatus hernia; (d) accompanying excision of a stricture and æsophago-gastric anastomosis or colon transplant. The importance is stressed of early operation to reduce the acid gastric reflux when marked æsophagitis or stricture is present. The results were good in 16 cases and fair in one, and there was one death.