Khirurgiia · 2017
[Evaluating an effectiveness of surgical treatment of gastroesophageal reflux disease combined with hiatal hernia].
Сравнительное исследованиеСтатьяНазвание и аннотация: Оригинал на русском
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Mozharovskiy V V, Tsyganov A A, Mozharovskiy K V, Tarasov A A
Аннотация
AIM: To assess an effectiveness of surgical treatment of gastroesophageal reflux disease (GERD) combined with hiatal hernia (HH).
MATERIAL AND METHODS: The trial included 96 patients with GERD and HH who were divided into 2 groups. The principal difference between groups was the use of surgery in the main group and therapeutic treatment in the comparison group.
RESULTS: The effectiveness of surgical treatment is superior to therapeutic treatment of GERD by more than 2.5 times.
CONCLUSION: HH combined with GERD is an indication for surgical treatment. Fundoplication cuff should not lead to angular and rotational esophageal deformation. Nissen procedure in Donahue modification (Short Floppy Nissen) simulates optimally the geometry of esophago-gastric junction and His angle.
MATERIAL AND METHODS: The trial included 96 patients with GERD and HH who were divided into 2 groups. The principal difference between groups was the use of surgery in the main group and therapeutic treatment in the comparison group.
RESULTS: The effectiveness of surgical treatment is superior to therapeutic treatment of GERD by more than 2.5 times.
CONCLUSION: HH combined with GERD is an indication for surgical treatment. Fundoplication cuff should not lead to angular and rotational esophageal deformation. Nissen procedure in Donahue modification (Short Floppy Nissen) simulates optimally the geometry of esophago-gastric junction and His angle.