

Long-term results of alternative antireflux surgery for gastroesophageal reflux disease and hiatal hernia
https://doi.org/10.33667/2078-5631-2024-3-50-54
Abstract
The article is devoted to the use of a new method in open and laparoscopic surgery of gastroesophageal reflux disease and hiatal hernia. The essence of the technique is to fix the esophageal-gastric junction under the diaphragm with a combined tape of xenopericardium and propylene or propylene only. Comparative data on the results of Nissen operations in 126 patients and the new method in 258 patients are presented. The authors used an original comparative outcome assessment scale, which combines the main negative outcomes encountered after operations for gastroesophageal reflux disease and hiatal hernia, as well as Visick scale. The advantage of the new technique has been statistically reliably proven, where the absence of such severe complications as dysphagia, diarrhea, and stasis in its use is especially emphasized.
About the Authors
V. A. BaulinRussian Federation
Baulin Vladimir A., PhD Med, associate professor at Dept of Surgery and Endoscopy n.a. prof. N. A. Baulin
Penza
A. A. Gulyaev
Russian Federation
Gulyaev Andrey A., DM Sci (habil), professor, head of Dept of Surgery and Endoscopy n.a. prof. N. A. Baulin, Penza Institute for Postgraduate Medicine – a Branch of Russian Medical Academy of Continuing Professional Education, chief researcher at Scientific Dept of Emergency Surgery, Endoscopy and Intensive Care, Research Institute of Emergency Medicine n.a. N. V. Sklifosovsky, professor at Dept of Emergency and General Surgery n.a. prof. A. S. Ermolov, Russian Medical Academy of Continuing Professional Education
Penza, Moscow
A. A. Baulin
Russian Federation
Baulin Anatoly A., DM Sci (habil), professor, professor at Dept of Surgery and Endoscopy n.a. prof. N. A. Baulin
Penza
O. A. Baulinа
Russian Federation
Baulina Olga A., PhD Med, deputy director for Regional Healthcare, associate professor at Dept of Surgery and Endoscopy n.a. prof. N. A. Baulin
Penza
L. A. Averyanova
Russian Federation
Averyanova Lyudmila A., graduate student at Dept of Surgery and Endoscopy n.a. prof. N. A. Baulin, Penza Institute for Postgraduate Medicine – a Branch of Russian Medical Academy of Continuing Professional Education, endoscopist, head of the emergency Dept, Clinical Hospital № 6 n.a. G. A. Zakharyina
Penza
V. A. Starodubtsev
Russian Federation
Starodubtsev Vladimir A., PhD Med, associate professor at Dept of Surgery and Endoscopy n.a. prof. N. A. Baulin, Penza Institute for Postgraduate Medicine – a Branch of Russian Medical Academy of Continuing Professional Education, head of the Endoscopy Dept, Clinical diagnostic center MEDIKLINIK
Penza
References
1. Hunt R., Armstrong D., Katelaris P., Afihene M., Bane A., Bhatia S., Chen M.H., Choi M.G., Melo A.C., Fock K.M., Ford A., Hongo M., Khan A., Lazebnik L., Lindberg G., Lizarzabal M., Myint T., Moraes-Filho J.P., Salis G., Lin J.T., Vaidya R., Abdo A., LeMair A. Review Team:. World Gastroenterology Organisation Global Guidelines: GERD Global Perspective on Gastroesophageal Reflux Disease. J Clin Gastroenterol. 2017; 51(6): 467–478. http://doi:10.1097/MCG.0000000000000854.
2. Khorobrikh T.V. Examination of cardiac patients for the detection of gastrocardial reflux esophagitis syndrome (literature review). Siberian Journal of Life Sciences and Agriculture. 2020;12 (4): 119–130. http://doi:10.12731/2658–6649–2020–12–4–119–130
3. Bychkova L. V., Zhuravleva A. S., Rodoman M. G., Markina O. Yu., Irkabaeva M. M., Difficulties in diagnosing GERD in the absence of esophageal manifestations. Clinical observation. Surgeon. 2021; 1. http://doi:10.33920/med-15–2101–03
4. Hoshino M., Omura N., Yano F., Tsuboi K., Yamamoto S.R., Akimoto S., Mitsumori N., Kashiwagi H., Yanaga K. Comparison of laparoscopic Nissen and Toupet fundoplication using a propensity score matching analysis. Surg Today. 2017; 47(10):1195–1200. http://doi:10.1007/s00595–017–1490–15.
5. Zhurbenko G.A., Karpitsky A.S., Panko S.V., Shestyuk A.M.. Results of surgical treatment of hiatal hernias. Journal of Grodno State Medical University. 2018; 16: 185–190. http://doi:10.25298/2221–8785–2018–16–2–185–190
6. Song E.J., Yadlapati R., Chen J.W., Parish A., Whitson M.J., Ravi K., Patel A., Carlson D.A., Khan A., Niedzwiecki D., Leiman D.A. Variability in endoscopic assessment of Nissen fundoplication wrap integrity and hiatus herniation. Dis Esophagus. 2022; 35(5): doab078. http://doi:10.1093/dote/doab078
7. Shabunin A.V., Bagatelia Z.A., Grekov D.N., Yakomaskin V.N., Skorobogatov M.B. Analysis of the treatment of hiatal hernias in a multidisciplinary hospital. Moscow surgical journal. 2018; 3(61): 37.
8. Chernousov A. F., Khorobrykh T. V., Vetshev F. P. Treatment of reflux esophagitis in patients with cardiofundal, subtotal and total hiatal hernias. Surgery. Journal named after N.I. Pirogov.
9. Galliamov É.A., Lutsevich O., Kubyshkin V.A., Erin S.A., Agapov M.A., Presnov K.S., Busyrev Yu.B., Galliamov E.E., Gololobov G. Yu., Zryanin A.M., Starkov G.A., Tolstykh M.P. Redo laparoscopic surgery for recurrent gastroesophageal reflux disease and hiatal hernia. Pirogov Russian Journal of Surgery. Khirurgiya. Zurnal im. N.I. Pirogova. 2019;(2):26–31. https://doi.org/10.17116/hirurgia201902126
10. Erin S.A. Modern technologies in the surgical treatment of hiatal hernias: a dissertation for the degree of candidate of medical sciences. М.– 2021: 136 р.
11. Yadlapati R., Hungness E.S., Pandolfino J.E.. Complications of Antireflux surgery. Am J Gastroenterol. 2018; 113(8): 1137–1147.
12. Kinsey-Trotman S.P., Devitt P.G., Bright T., Thompson S.K., Jamieson G.G., Watson D.I. Randomized Trial of Division Versus Nondivision of Short Gastric Vessels During Nissen Fundoplication: 20-Year Outcomes. Ann Surg. 2018;268(2):228–232. https://doi:10.1097/SLA.0000000000002648.
13. Baulina O.A., Ivachev A.S., Baulin V.A., Baulin A.A., Baulina N.V. Simultaneous operations based on laparoscopic fixation of the angle of His. Avicenna’s Messenger (Payomi Sino). 2014; 1 (58): 21–25.
14. Chernousov A.F., Khorobrykh T.V., Vetshev F.P., Osminin S.V., Mugazaveta D. Long-term results of surgical treatment of reflux esophagitis and its complications. Almanac of the Institute of Surgery named after. A.V. Vishnevsky. 2017; 1: 888–889.
Review
For citations:
Baulin V.A., Gulyaev A.A., Baulin A.A., Baulinа O.A., Averyanova L.A., Starodubtsev V.A. Long-term results of alternative antireflux surgery for gastroesophageal reflux disease and hiatal hernia. Medical alphabet. 2024;(3):50-54. (In Russ.) https://doi.org/10.33667/2078-5631-2024-3-50-54