Antireflux operations in patients with acquired short esophagus, which is a complication of long-standing reflux esophagitis

Abstract

Background. The purpose of this study is the evaluation of antireflux surgery of laparoscopic or laparotomic access in patients with acquired short esophagus, combined with a hiatal hernia and is a complication of long-existing reflux esophagitis with vnepischevodnym its manifestations such as gastrocardiac syndrome, with the main pathogenetic, pathophysiologic factors and mechanisms of development. Materials and methods. The study included 34 patients who were hospitalized in the surgical department, operated from a laparoscopic or laparotomic approach. Results. 85 % of these patients underwent antireflux surgery using endovideosurgical access. According to the results of the study, it was found that the total bed-day in patients after laparoscopy was 8.25 days, after laparotomy – 10.7 days. Conclusions. Based on the results it was found that performing antireflux surgery by endovideosurgical access is as effective and safe as open surgery, while reducing the duration of inpatient treatment and fewer possible subsequent complications. The analysis of the results showed the effectiveness and safety of practical application and use of the laparoscopic approach for the treatment of patients with an acquired short esophagus, combined with a hiatal hernia of the diaphragm and which is a complication of long-standing reflux esophagitis with its extraesophageal manifestation, such as gastrocardiac syndrome.

Keywords

• reflux esophagitis
• a hiatal hernia of the diaphragm
• the acquired short esophagus
• gastrocardiac syndrome