grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2016-175-4-59-61grekov-271Research ArticleОПЫТ РАБОТЫEXPERIENCE OF WORKАНТИРЕФЛЮКСНАЯ РЕЗЕКЦИЯ СЛИЗИСТОЙ ОБОЛОЧКИ ПИЩЕВОДНО-ЖЕЛУДОЧНОГО СОУСТЬЯ В ЛЕЧЕНИИ ПИЩЕВОДА БАРРЕТТА: ПЕРВЫЙ ОПЫТANTIREFLUX RESECTION OF MUCOUS MEMBRANE OF ESOPHAGOGASTRIC ANASTOMOSIS IN TREATMENT OF BARRETT’S ESOPHAGUS: INITIAL EXPERIENCEСмирновА. А.SmirnovA. A.smirnov-1959@yandex.ruВасилевскийД. И.VasilevskiyD. I.vasilevsky1969@gmail.comЛапшинА. С.LapshinA. S.lapshingh2@mail.ruДворецкийС. Ю.DvoretskiyS. Yu.dvoreckiy@rambler.ruФилипповД. И.FilippovD. I.filippovdi@mail.ruЦицкараваА. З.TsitskaravaA. Z.alexis.karava@yandex.ruБагненкоС. Ф.BagnenkoS. F.bagnenko_spb@mail.ruПервый Санкт-Петербургский государственный медицинский университет им. акад. И. П. ПавловаРоссияI. P.Pavlov First Saint Petersburg State Medical UniversityRussian Federation20162808201617545961Copyright © Смирнов А.А., Василевский Д.И., Лапшин А.С., Дворецкий С.Ю., Филиппов Д.И., Цицкарава А.З., Багненко С.Ф., 20162016Смирнов А.А., Василевский Д.И., Лапшин А.С., Дворецкий С.Ю., Филиппов Д.И., Цицкарава А.З., Багненко С.Ф.Smirnov A.A., Vasilevskiy D.I., Lapshin A.S., Dvoretskiy S.Y., Filippov D.I., Tsitskarava A.Z., Bagnenko S.F.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/271

Antireflux resection of mucous membrane of esophagogastric anastomosis (ARMS) was performed on 6 patients with typical symptoms of gastroesophageal reflux disease (GERD). The patients had a short segment of сolumnar-celled metaplasia (1-2 cm) without radiological and endoscopic signs of hiatal hernia. All the patients received medicamentous therapy by antisecretory agents more than 3 years. The operation included the endoscopic resection of2/3 circle of mucous membrane of esophagogastric anastomosis and resection of the area of columnar-celled metaplasia. The results of treatment were assessed during 3-7 months after ARMS. There was noted an absence of clinical manifestations of GERD, regression of inflammatory signs of mucous coat of esophagus in 4 out of 6 patients. Symptoms of GERD remained in 2 patients, although the intensity of signs significantly decreased.

гастроэзофагеальная рефлюксная болезньпищевод Барреттацилиндроклеточная метаплазия пищеводаэндоскопическая резекция слизистой оболочки пищеводно-желудочного переходаgastroesophageal reflux diseaseBarrett’s esophaguscolumnar-celled metaplasia of esophagusendoscopic resection of mucous coat of esophagogastric anastomosisReferencesAnderson L., Murray L., Murphy S. et al. Mortality in Barrett’s oeso phagus: results from a population based study // Gut. 2003. Vol. 52. P. 1081-1084.Anderson L., Murray L., Murphy S. et al. Mortality in Barrett’s oeso phagus: results from a population based study // Gut. 2003. Vol. 52. P. 1081-1084.Antoniou S., Koch O., Kaindlstorfer A. et al. Endoscopic full-thickness plication versus laparoscopic fundoplication: a prospective study on quality of life and symptom control // Surg. Endosc. 2012. Vol. 26. P. 1063-1068.Antoniou S., Koch O., Kaindlstorfer A. et al. Endoscopic full-thickness plication versus laparoscopic fundoplication: a prospective study on quality of life and symptom control // Surg. Endosc. 2012. Vol. 26. P. 1063-1068.Bani-Hani K., Bani-Hani B. Columnar-lined esophagus: time to drop the eponym of «Barrett»: historical review // J. Gastroenterol. Hepatol. 2008. Vol. 23. P. 707-715.Bani-Hani K., Bani-Hani B. Columnar-lined esophagus: time to drop the eponym of «Barrett»: historical review // J. Gastroenterol. Hepatol. 2008. Vol. 23. P. 707-715.Barnes W., Hoddinott K., Mundy S. et al. Transoral incisionless fundoplication offers high patient satisfaction and relief of therapy-resistant typical and atypical symptoms of GERD in community practice // Surg. Innov. 2011. Vol. 18. P. 119-129.Barnes W., Hoddinott K., Mundy S. et al. Transoral incisionless fundoplication offers high patient satisfaction and relief of therapy-resistant typical and atypical symptoms of GERD in community practice // Surg. Innov. 2011. Vol. 18. P. 119-129.Caygill C., Watson A., Lao-Sirieix P. et al. Barrett’s oesophagus and adenocarcinoma // W. J. Surg. Oncol. 2004. Vol. 2. P. 1-21.Caygill C., Watson A., Lao-Sirieix P. et al. Barrett’s oesophagus and adenocarcinoma // W. J. Surg. Oncol. 2004. Vol. 2. P. 1-21.Fitzgerald R., di Pietro M., Ragunath K. et al. British Society of Gastroenterology guidelines on the diagnosis and management of Barrett’s oesophagus // Gut. 2014. Vol. 63. P. 7-63.Fitzgerald R., di Pietro M., Ragunath K. et al. British Society of Gastroenterology guidelines on the diagnosis and management of Barrett’s oesophagus // Gut. 2014. Vol. 63. P. 7-63.Hofstetter W., Peters J., DeMeester T. et al. Long-term outcome of antireflux surgery in patients with Barrett’s esophagus // Ann. Surg. 2011. Vol. 234. P. 532-539.Hofstetter W., Peters J., DeMeester T. et al. Long-term outcome of antireflux surgery in patients with Barrett’s esophagus // Ann. Surg. 2011. Vol. 234. P. 532-539.Inoue H., Ito Y., Ikeda H. et al. Antireflux mucosectomy for gastroesophageal reflux disease in the absence of hiatus hernia: a pilot study // Ann. Gastroenterol. 2014. Vol. 27. P. 346-351.Inoue H., Ito Y., Ikeda H. et al. Antireflux mucosectomy for gastroesophageal reflux disease in the absence of hiatus hernia: a pilot study // Ann. Gastroenterol. 2014. Vol. 27. P. 346-351.Löfdahl H., Lu Y., Lagergren P., Lagergren J. Risk factors for esophageal adenocarcinoma after antireflux surgery // Ann. Surg. 2013. Vol. 257. P. 579-582.Löfdahl H., Lu Y., Lagergren P., Lagergren J. Risk factors for esophageal adenocarcinoma after antireflux surgery // Ann. Surg. 2013. Vol. 257. P. 579-582.Maret-Ouda J, Konings P., Lagergren J., Brusselaers N. Antireflux surgery and risk of esophageal adenocarcinoma: a systematic review and meta-analysis // Ann. Surg. 2016. Vol. 263. P. 251-257.Maret-Ouda J, Konings P., Lagergren J., Brusselaers N. Antireflux surgery and risk of esophageal adenocarcinoma: a systematic review and meta-analysis // Ann. Surg. 2016. Vol. 263. P. 251-257.Melhado R., Alderson D., Tucker O. The changing face of esophageal cancer // Cancers. 2010. Vol. 2. P. 1379-1404.Melhado R., Alderson D., Tucker O. The changing face of esophageal cancer // Cancers. 2010. Vol. 2. P. 1379-1404.Mudan S., Kang J-Y. Epidemiology and clinical presentation in esophageal cancer // Cambridge University Press. 2008. P. 1-10.Mudan S., Kang J-Y. Epidemiology and clinical presentation in esophageal cancer // Cambridge University Press. 2008. P. 1-10.Narsule C., Burch M., Ebright M. et al. Endoscopic fundoplication for the treatment of gastroesophageal reflux disease: initial experience // J. Thorac. Cardiovasc. Surg. 2012. Vol. 143. P. 228-234.Narsule C., Burch M., Ebright M. et al. Endoscopic fundoplication for the treatment of gastroesophageal reflux disease: initial experience // J. Thorac. Cardiovasc. Surg. 2012. Vol. 143. P. 228-234.Ozawa S., Kumai K., Higuchi K. et al. Short-term and long-term outcome of endoluminal gastroplication for the treatment of GERD: the first multicenter trial in Japan // J. Gastroenterol. 2009. Vol. 44. P. 675-684.Ozawa S., Kumai K., Higuchi K. et al. Short-term and long-term outcome of endoluminal gastroplication for the treatment of GERD: the first multicenter trial in Japan // J. Gastroenterol. 2009. Vol. 44. P. 675-684.Shaheen N., Falk G., Iyer P., Gerson L. ACG Clinical Guideline: diagnosis and management of Barrett’s esophagus // Am. J. Gastroenterol. 2016. Vol. 111. P. 30-50.Shaheen N., Falk G., Iyer P., Gerson L. ACG Clinical Guideline: diagnosis and management of Barrett’s esophagus // Am. J. Gastroenterol. 2016. Vol. 111. P. 30-50.Sharma P. Barrett’s esophagus // N. Engl. J. Med. 2009. Vol. 361. P. 2548-2556.Sharma P. Barrett’s esophagus // N. Engl. J. Med. 2009. Vol. 361. P. 2548-2556.Spechler S., Sharma P., Souza R. et al. American Gastroenterological Association medical position statement on the management of Barrett’s esophagus // Gastroenterology. 2011. Vol. 140. P. 1084-1091.Spechler S., Sharma P., Souza R. et al. American Gastroenterological Association medical position statement on the management of Barrett’s esophagus // Gastroenterology. 2011. Vol. 140. P. 1084-1091.Stefanidis D., Hope W., Kohn G. et al. Guidelines for surgical treat ment of gastroesophageal reflux disease // Surg. Endosc. 2010. Vol. 24. P. 2647-2669.Stefanidis D., Hope W., Kohn G. et al. Guidelines for surgical treat ment of gastroesophageal reflux disease // Surg. Endosc. 2010. Vol. 24. P. 2647-2669.Testoni P., Vailati C., Testoni S. et al. Transoral incisionless fundoplication (TIF 2.0) with EsophyX for gastroesophageal reflux disease: long-term results and findings affecting outcome // Surg. Endosc. 2012. Vol. 26. P. 1425-1435.Testoni P., Vailati C., Testoni S. et al. Transoral incisionless fundoplication (TIF 2.0) with EsophyX for gastroesophageal reflux disease: long-term results and findings affecting outcome // Surg. Endosc. 2012. Vol. 26. P. 1425-1435.Wang K., Sampliner R. Updated guidelines 2008 for the diagnosis, surveillance and therapy of Barrett’s esophagus // Am. J. Gastroenterol. 2008. Vol. 103. P. 788-797.Wang K., Sampliner R. Updated guidelines 2008 for the diagnosis, surveillance and therapy of Barrett’s esophagus // Am. J. Gastroenterol. 2008. Vol. 103. P. 788-797.

The authors declare that there are no conflicts of interest present.