A new approach to the surgical treatment of reflux oesophagitis

The rationale of combining proximal gastric vagotomy with Nissen fundoplication in the treatment of reflux oesophagitis due to hiatus hernia is discussed. The application of this procedure in 12 cases over a period of 4 years is described and the results, with a follow-up of 13--48 months, are reported. Ten of the 12 patients have been completely relieved of their symptoms and one has been significantly improved.