Danielyan Sh N, Abakumov M M, Tatarinova E V, Gasanov A M
Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department, Moscow, Russia.
Khirurgiia (Mosk). 2020(2):79-83. doi: 10.17116/hirurgia202002179.
Esophagocardiomyotomy followed by anterior fundoplication is a standard treatment of achalasia cardia, whereas cruroraphy with complete or partial posterior fundoplication is carried out for hiatal hernia and gastroesophageal reflux disease. The most common postoperative complications of hiatal hernia repair are dysphagia due to malformed cuff, phenomenon of 'telescope' and slow gastric emptying syndrome. Recurrent hiatal hernia is observed in 3-15% of cases. Currently, there are a lot of reports devoted to redo antireflux procedures in patients with hiatal hernia. The goal of the study is to demonstrate difficulties of diagnosis and treatment in a patient with achalasia cardia after previous hiatal hernia repair.
贲门肌层切开术加前路胃底折叠术是贲门失弛缓症的标准治疗方法，而对于食管裂孔疝和胃食管反流病，则采用缝合裂孔加完全或部分后路胃底折叠术。食管裂孔疝修补术后最常见的并发症是袖套畸形导致的吞咽困难、“望远镜”现象和胃排空延迟综合征。3%至15%的病例会出现复发性食管裂孔疝。目前，有许多关于食管裂孔疝患者再次抗反流手术的报道。本研究的目的是证明既往食管裂孔疝修补术后贲门失弛缓症患者的诊断和治疗困难。
