Chernousov A F, Shestakov A L
Khirurgiia (Mosk). 1998(5):4-8.
Reflux-esophagitis is wide-spread and frequently diagnosed disease, which is found in persons of young and adult age. The main kind of treatment is conservative one, however sometimes reflux-esophagitis is accompanied by complications, dangerous for life, which require surgical treatment. Experience of surgical treatment of 720 patients is available. Fundoplication procedure in RCS modification combined with SPV is main and optimal operation. This operation is possible in more than 2/3 cases of surgical treatment of reflux-esophagitis and peptic stricture of the esophagus. If it is found to be impossible to carry out organ saving procedure in severe reflux-esophagitis and irreversible peptic stricture of the esophagus the operation of choice should be extirpation of the esophagus and gastroplasty with gastric tube or large bowel and simultaneous creation of anastomosis in the neck. This was carried out in 38 patients with favourable outcomes.
反流性食管炎是一种广泛存在且常被诊断出的疾病,多见于年轻人和成年人。主要的治疗方式是保守治疗,然而有时反流性食管炎会伴有危及生命的并发症,这就需要进行手术治疗。目前有720例患者的手术治疗经验。RCS改良法结合SPV的胃底折叠术是主要且最佳的手术方式。在超过2/3的反流性食管炎和食管消化性狭窄的手术治疗病例中,这种手术是可行的。如果在严重反流性食管炎和食管不可逆性消化性狭窄中无法进行保留器官的手术,那么首选的手术应该是食管切除术和用胃管或大肠进行胃成形术,并同时在颈部进行吻合。38例患者接受了这种手术,效果良好。