Gushcha A L, Baulin S S, Pod''iablonskaia I A
Vestn Khir Im I I Grek. 1993 Mar-Apr;150(3-4):21-5.
A frequent combination of cholecystitis and reflux-esophagitis is noted (from 20% to 60%). Pathogenetical mutual interdependence of these diseases was found. At the same time, reflux-esophagitis is not diagnosed and not corrected by surgical treatment of cholecystitis. The frequency of reflux-esophagitis not corrected during cholecystectomy is increased in the structure of "postcholecystectomy syndrome". The article gives an analysis of operative treatment of 438 patients with cholecystitis. In 265 of them only cholecystectomy was performed, in 173--cholecystectomy and fundoplication after Nissen. A comparison of immediate and remote results of the both groups has shown that most favorable results were obtained after simultaneous operations which results in reduced frequency of "postcholecystectomy syndrome" by 30%.
胆囊炎与反流性食管炎常合并出现(发生率为20%至60%)。已发现这些疾病在发病机制上相互关联。同时,胆囊炎的手术治疗无法诊断和纠正反流性食管炎。在“胆囊切除术后综合征”的构成中,胆囊切除术中未纠正的反流性食管炎发生率有所增加。本文对438例胆囊炎患者的手术治疗进行了分析。其中265例仅行胆囊切除术,173例行胆囊切除术及Nissen术后胃底折叠术。两组近期和远期结果的比较表明,同期手术取得了最理想的效果,“胆囊切除术后综合征”的发生率降低了30%。