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[Results of surgical correction of constriction function of cardia]
1Department of General Surgery, Altaí State Medical Institute, Barnaul.
Insights
Surgical correction of cardia insufficiency can be effectively treated with a novel dosed cardio-esophagofundoplication. This procedure shows significantly lower morbidity rates compared to the Nissen fundoplication for gastro-intestinal tract conditions.
Area of Science:
- Gastroenterology and Surgical Procedures
- Cardia Function and Dysfunction
- Gastrointestinal Motility Disorders
Context:
- Chronic gastro-intestinal tract diseases often lead to cardia insufficiency, affecting esophageal function.
- Accurate diagnosis of cardia insufficiency requires a combination of imaging and functional tests.
- Surgical intervention is indicated for severe or refractory cases of cardia insufficiency.
Purpose:
- To analyze the outcomes of surgical correction for cardia insufficiency in 113 patients.
- To investigate the underlying causes of cardia insufficiency in chronic gastro-intestinal diseases.
- To establish clear indications for surgical correction of cardia insufficiency.
Summary:
- This study evaluated 113 patients undergoing surgical correction for cardia insufficiency.
- Diagnostic methods included X-ray, endoscopy, intraesophageal pH monitoring, and esophago-gastric manometry.
- A novel 'dosed out cardio-esophagofundoplication' was developed and found to be highly effective.
Impact:
- The developed cardio-esophagofundoplication demonstrates a significantly lower morbidity rate (3.1%) compared to the Nissen fundoplication (41.9%).
- This suggests a more effective and safer surgical approach for managing cardia insufficiency.
- The findings provide a basis for improved surgical guidelines and patient outcomes in treating cardia dysfunction.
Abstract:
The results of surgical correction of insufficiency of locking function of cardia in 113 patients are analysed. The X-ray and endoscopic examination, intraesophageal measurement of pH, manometry in esophago-gastric connection were used to study the reasons of cardia insufficiency in chronic diseases of gastro-intestinal tract. The indications for surgical correction of this status are formulated. The original operation of the dosed out cardio-esophagofundoplication is advocated as the most effective operation in such condition. The rate of morbidity after this type of surgery is 3.1% vs. 41.9% after the fundoplicatin by the method of Nissen.