Preview

Вестник хирургии имени И.И. Грекова

Расширенный поиск

ПРОФИЛАКТИКА ГАСТРОЭЗОФАГЕАЛЬНОЙ РЕФЛЮКСНОЙ БОЛЕЗНИ ПОСЛЕ БАРИАТРИЧЕСКИХ ВМЕШАТЕЛЬСТВ

https://doi.org/10.24884/0042-4625-2014-173-3-33-37

Полный текст:

Аннотация

The article analyzed the results of surgery using tree gastric restriction laparoscopic operations which led to high possibility of the development of gastroesophageal reflux disease (GERD). Laparoscopic stomach length resection was performed in 327 (68,1%) out of 480 (62,1%) patients. Laparoscopic gastric bypass surgery took place in 142 (29,5%) cases and laparoscopic biliary-pancreatic bypass surgery - in 11 (2,3%). The diagnosis of GERD was established in 193 (40,2%) patients before the operation and it was usually accompanied by hernia of the esophageal opening (HEO). The patients were arranged in 4 groups. The first group had operations using the standard method and it included 287 (59,8%) patients without any signs of GERD or HEO. The patients of the second group (84 (17,5%) had signs of GERD and HEO and standard operations with a hernia removal and cruroraphy were carried out. The patients of the third group 109 (22,7%) had initial signs of GERD and the standard method was used for them. The developed method was applied for patients of the fourth group (132 (27,5%). All the operations were completed by antireflux valve formation, but in the cases of GERD and HEO presence, they accomplished by hernia removal, cruroraphy. After performing standard operations, the signs of GERD were noted in 51,5% of cases. Thus, patients of the first group (148 (51,5%) had the signs of GERD. It was noted, that the signs of GERD were presented in patients of the second group (79 (94%) and it numbered 97 (89%) patients of the third group. In the case of the fourth group, signs of GERD were in 14 (10,6%) patients.

Об авторах

Михаил Борисович Фишман
Первый Санкт-Петербургский государственный медицинский университет им. акад. И. П. Павлова
Россия


Чue Ма
Первый Санкт-Петербургский государственный медицинский университет им. акад. И. П. Павлова
Россия


Станислав Петрович Мужиков
Первый Санкт-Петербургский государственный медицинский университет им. акад. И. П. Павлова
Россия


Список литературы

1. Кубышкин В. А., Корняк Б. С. Гастроэзофагеальная рефлюксная болезнь. М., 1999. 208 с.

2. Седов В. М., Фишман М. Б. Лапароскопическая хирургия ожирения: Практическое руководство. Атлас. СПб., 2009. 192 с.

3. Седов В. М., Фишман М. Б., Соловьева М. О., Мужиков С. П. Эпидемиологические характеристики метаболического синдрома в Северо-Западном регионе России. НПК «Метаболический синдром: междисциплинарные проблемы» // Проф. и клин. мед. 2010. № 3-4 (36-37). С. 222.

4. Фишман М. Б., Куприн П. Е. Особенности распространённости ожирения среди населения Северо-Запада РФ // Клиническая медицина: Межвузовский сборник стран СНГ. В. Новгород, Алматы, 2006. Т. 13. С. 266-271.

5. Castell D. O. Introduction to pathophysiology of gastroesophageal reflux // Gastroenterology International. 1997. Vol. 10, № 3. Р. 100-110.

6. Castell D. O., Johnston B. T. Gastroesophageal reflux disease. Current strategies for patient management // Arch. Fam. Med. 1996. № 5. P. 221-227.

7. DeMeester T. R., Bonavina L., Albertucci M. Nissen fundoplication for gastroesophageal reflux disease // Ann. Surg. 1986. Vol. 204. P. 9-29.

8. Hinder R. A., Libbey J. S., Gorecki P., Bammer T. Antireflux surgery: indications, preoperative evaluation and outcome // Gastro enterology Clinics. 1999. Vol. 28, № 4. P. 987-1005.

9. Holloway R. H., Hongo M., Berger K. et al. Gastric distention: A mechanism for postprandial gastroesophageal reflux // Gastroenterology. 1985. Vol. 89. P. 779-784.

10. Howden C. W., Freston J. W. Setting the «gold standards» in the management of gastroesophageal reflux disease // Gastroenterology Today. 1996. № 6. P. 1-4.

11. Nissen R., Rossetti M. Surgery of hiatal and other diaphragmatic hernias // J. Int. Coll. Surg. 1965. Vol. 43. P. 663-674.

12. Richardson W. S., Trus T. L., Hunter J. G. Laparoscopic antireflux surgery // Surg. Clin. North Am. 1996. Vol. 76. P. 437-450.

13. Rydberg L., Ruth M., Lundell L. Mechanism of action of antireflux procedures // Br. J. Surg. 1999. № 86. P. 405-410.

14. Toupet A. Technique d’oesophagogastroplastie a le phre nogastropexie appliquee dans la cure radicale des hernia hiatales et comme complement de l’operation de Heller dans les cardiospasmus // Med. Acad. Clin. 1963. Vol. 89. P. 374-379.

15. WHO Global NCD InfoBase, WHO global comparable estimates [online database]. Geneva, World Health Organization, 2005 (http: // www.who.int/ncd_surveillance, infobase/web/InfoBaseCommon.

16. Yau P. Efficacy of a 90 degree anterior fundoplication vs. a total fundoplication in an experimental model // Surg. Endosc. 2000. Vol. 14, № 9. P. 830-833.

17. Zugel N., Jung C., Bruer C. et al. A comparison of laparoscopic Toupet versus Nissen fundoplication in gastroesophageal reflux disease // Langenbecks Arch. Surg. 2002. Vol. 386, № 7. P. 494-498.


Для цитирования:


Фишман М.Б., Ма Ч., Мужиков С.П. ПРОФИЛАКТИКА ГАСТРОЭЗОФАГЕАЛЬНОЙ РЕФЛЮКСНОЙ БОЛЕЗНИ ПОСЛЕ БАРИАТРИЧЕСКИХ ВМЕШАТЕЛЬСТВ. Вестник хирургии имени И.И. Грекова. 2014;173(3):33-37. https://doi.org/10.24884/0042-4625-2014-173-3-33-37

For citation:


Fishman M.B., Chie M., Muzhikov S.P. PREVENTION FOR GASTROESOPHAGEAL REFLUX DISEASE AFTER GASTRIC RESTRICTION INTERVENTIONS. Grekov's Bulletin of Surgery. 2014;173(3):33-37. (In Russ.) https://doi.org/10.24884/0042-4625-2014-173-3-33-37

Просмотров: 75


Creative Commons License
Контент доступен под лицензией Creative Commons Attribution 4.0 License.


ISSN 0042-4625 (Print)
ISSN 2686-7370 (Online)