Galimov O V, Prazdnikov E N
Bashkirian State School of Medicine, Ufa, Russia.
Surg Gynecol Obstet. 1993 Sep;177(3):223-6.
The problem of surgical management of gastric and duodenal ulcers associated with the hiatal esophageal hernias is reported. The authors have summed up the results of simultaneous surgical treatment of 97 patients. Good follow-up results were obtained in 69.2 percent of the patients, satisfactory in 26.9 percent and unsatisfactory in 3.9 percent of the patients. Of the 28 patients with reflux esophagitis who had previously undergone gastric resection, it was noted that nonresection of the associated hiatal hernia during the primary operation for ulcer disease decreased the effect of surgical treatment. A new method of surgical management of reflux esophagitis of the resected stomach is presented. The authors conclude that simultaneous operation for gastroduodenal ulcers associated with hiatal hernia is a promising area of surgical treatment and ensures high medical, social and economic efficiency.
报道了与食管裂孔疝相关的胃和十二指肠溃疡的外科治疗问题。作者总结了97例同时进行外科治疗患者的结果。69.2%的患者随访结果良好，26.9%的患者结果满意，3.9%的患者结果不满意。在28例先前接受过胃切除术的反流性食管炎患者中，注意到在溃疡病初次手术时未切除相关的食管裂孔疝会降低手术治疗效果。提出了一种对切除胃的反流性食管炎进行外科治疗的新方法。作者得出结论，对与食管裂孔疝相关的胃十二指肠溃疡进行同期手术是外科治疗的一个有前景的领域，并确保了较高的医疗、社会和经济效益。
