[Esophagitis--hiatal hernia--indications and choice of procedure: alternative technics]

At present the clinical and experimental results allow only for Angelchik's silicone-antirefluxprosthesis as an alternative to Nissen-Rossetti fundoplication technique. Until now, there is no reproducible clinical evidence for the efficiency of hernia-repair alone as well as for measures with the aim of anatomical reconstruction of the gastric entrance region; on the other hand, these methods show rates of recurrence of reflux up to 66%. Thus, the latter operative techniques should meanwhile be considered obsolete.