Oskretkov V I, Gankov V A
Department of General Surgery, Altaí State Medical Institute, Barnaul.
Khirurgiia (Mosk). 1997(8):43-6.
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.