[Treatment of gastroesophageal reflux by pexis to the round ligament. Report of 100 operated patients followed-up for 16 to 23 years].

In a study of 1,491 patients operated with ligament cardiopexy from 1,694 onwards, which we published in 1986, we reviewed 100 consecutive cases operated 15 years earlier or more. The review was based on a radioclinical (100), fiberscopic (53) and manometric (71) study, as well as on a measurement of the pH in doubtful cases (22). The results were distributed into categories A (normal), B (occasional disorders), C (functional disorders without recurrence) and R (recurrence), as follows: A + B 81%, C 12% and R 6%. This recent study confirms the conclusions we drew in 1981: a 15-minute operation that cures 94% of the patients without recurrence after 15 years and more is an appropriate procedure.