Abstract
Fifteen patients with reflux esophagitis were treated surgically from July 1990 to April 1994. We evaluated these patients using the anatomic-functional-pathologic (AFP) classification both prior to and following the operation. An objective index for surgical outcome was devised. By using the grades Ai, Fj, and Pk, the i2+j2+k2 score was determined. The scores ranged from 3 to 22 (mean 9.1±5.4) prior to the operation. Postoperatively, 12 (80%) of 15 patients showed a complete recovery with a numerical score of 0, and their symptoms also disappeared. The scores of these 12 patients prior to the operation ranged between 3 and 11. However, the other 3 patients did not exhibit a complete recovery. Their scores prior to the operation ranged between 17 and 22, and the symptoms in 2 of these 3 patients persisted following the operation. These results suggest that surgical treatment for reflux esophagitis can be expected to be successful if the preoperative AFP score is less than 11.
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Omura, N., Aoki, T., Kashiwagi, H. et al. An index to predict outcome of surgery for reflux esophagitis based on the AFP classification. Surg Today 25, 861–866 (1995). https://doi.org/10.1007/BF00311750
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DOI: https://doi.org/10.1007/BF00311750