All the following operations are done for gastroesophageal reflux disease Except
Correct Answer: Heller's cardiomyotomy
Description: Antireflux surgery is the only effective long-term beneficial therapy. Laparoscopic fundoplication (most popular), Collis - Nissen veical gastroplasty and fundoplication, resection of OG junction when metaplasia is present, Belsey Mark 4 operation (technically difficult) are the procedures used now. * Total (Nissen's) or paial (Toupet) fundoplication wherein after narrowing the crus of the diaphragm, mobilised fundus is wrapped around the area of O-G junction either totally or paially. *Hill's operation--Fixing O-G junction posteriorly to preaoic fascia--to an arcuate ligament. * Boerema operation--Fixing O-G junction anteriorly to the abdominal wall. * The Belsey-mark-4 operation is plication of the oesophagus to the diaphragm through many sutures and so as to push the lower end of oesophagus downwards and make it intra-abdominal--thoracic approach. Ref: SRB&;s manual of surgery,3 rd ed, pg no 724
Category:
Surgery
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