PMID: 9642950Jun 27, 1998Paper

Surgical treatment of reflux esophagitis and peptic stricture of esophagus

Khirurgiia
A F Chernousov, A L Shestakov

Abstract

Reflux-esophagitis is wide-spread and frequently diagnosed disease, which is found in persons of young and adult age. The main kind of treatment is conservative one, however sometimes reflux-esophagitis is accompanied by complications, dangerous for life, which require surgical treatment. Experience of surgical treatment of 720 patients is available. Fundoplication procedure in RCS modification combined with SPV is main and optimal operation. This operation is possible in more than 2/3 cases of surgical treatment of reflux-esophagitis and peptic stricture of the esophagus. If it is found to be impossible to carry out organ saving procedure in severe reflux-esophagitis and irreversible peptic stricture of the esophagus the operation of choice should be extirpation of the esophagus and gastroplasty with gastric tube or large bowel and simultaneous creation of anastomosis in the neck. This was carried out in 38 patients with favourable outcomes.

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