DIAGNOSIS AND SURGICAL-TREATMENT OF REFLUX ESOPHAGITIS

Operations were performed on 192 patients with reflux esophagitis, 23 of them had peptic stricture of the esophagus. Esophagofundoplication was the main operation. Nissen's (106), Tupe (47), Belsi's (3) Dor's (5), and atypical methods were applied. Whenever indicated it was supplemented by crurorhaphy, SPV, pylorotomy, correction of the duodenal junction, etc. Resection of the esophagus (19) was performed with one-stage esophagoplasty by means of the stomach through a left thoracoabdominal approach (14), the whole stomach passed through the posterior mediastinum from an abdomino-cervical approach (2) and the whole stomach with Lewis' intrathoracic anastomosis (3). Distal gastric resection was carried out in 6 and other operations in 3 patients. The mortality was 1 %. Reoperations were performed in 5 patients. The results were good in 81.2 % of cases. The tactics is individualized according to the presence or absence of a stricture, its length, and localization of the upper border.