Gastro-oesophageal reflux and respiratory disorders treated by Hill's procedure

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Abstract
A retrospective review of 132 patients with respiratory disordersassociated with gastrooesophageal reflux is presented. The patients wereoperated upon according to Hill's technique. In 66 infants and children,recurrent lung infection was the most frequent indication for surgery. Themean duration of respiratory symptoms was 17 months. In 66 adults, asthmawas the most frequent indication for surgery. The mean duration ofrespiratory symptoms was 9.7 years. Suppression of reflux was obtained byoperation in 95% of infants and children, with disappearance of respiratorydisorders in 78.6% and clinical improvement of symptoms in 16.4%.Suppression of reflux was confirmed in 94% of adults, with disappearance ofrespiratory disorders in 36% and improvement of symptoms in 28%. Thecorrelation between disappearance of reflux after surgery and cure ofrespiratory disorders in infants and children must be seen in the light ofthe natural history of lower oesophageal sphincter maturation.Nevertheless, surgery shortens the period of risk in life-threateningsituations. In adults, one patient out of two benefited from operation.Failures were more frequent in asthma and there was no characteristic typeof asthma associated with reflux.

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