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Khirurgii

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Year 2013 Vol. 21 No 2

REVIEWS

A.S. KARPITSKI, G.A. JURBENKO, A.M. SHESTIUK

VIDEO LAPAROSCOPIC FUNDOPLICATION AS CORRECTION METHOD OF THE LOWER ESOPHAGEAL SPHINCTER INSUFFICIENCY

ME «Brest regional hospital»
The Republic of Belarus

In recent years gastroesophageal reflux disease is one of the most wide spread diseases of the digestive tract. Increase of the number of patients with the given pathology demands to improve the approaches to diagnose and treat this disease.
The main current trends in treatment of gastroesophageal reflux disease have been reflected in the review on the basis of published data.
It is noted that the question regarding indications for surgical treatment of the lower esophageal sphincter insufficiency as well as expediency and efficacy of operations in comparison with conservative therapy is being actively discussed up to present.
The conducted literature analysis has shown that Nissen and Toupet video laparoscopic fundoplications are considered to be the most effective and popular ones in surgical treatment of gastroesophageal reflux disease and hernias of reflux diaphragm esophageal foramen.
The analysis of publications permits to conclude that treatment choice should be always based on the peculiarities of the disease course; surgical and medicamentous procedures should not be oppose, but complement to each other.
In the case of antireflux operations performance by Nissen and Toupet the indications for surgery must be strictly defined that significantly increases the effectiveness as well as selective approach to the choice of the fundoplication depending on the рН- results and manometric examination before operation.
The search and application of new more effective methods of fundoplication permit to improve the long-term results of surgical treatment of gastroesophageal reflux disease.

Keywords: gastroesophageal reflux disease, the lower esophageal sphincter insufficiency, video laparoscopic fundoplication, complications of video laparoscopic fundoplication, esophageal motility failure
p. 94 – 99 of the original issue
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Address for correspondence:
224027, Respublika Belarus', g. Brest, ul. Meditsinskaia, d. 7, UZ «Brestskaia oblastnaia bol'nitsa», otdelenie torakal'noi khirurgii,
e-mail: jurbik1@yandex.by,
Zhurbenko Gennadii Anatol'evich
Information about the authors:
Karpitski A.S. MD, professor, a chief physician of ME “Brest regional hospital”.
Jurbenko G.A. A physician of the thoracic surgery department of ME “Brest regional hospital”.
Shestiuk A.M. A head of the transplantation department of ME “Brest regional hospital”.
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