Immediate and long-term results of repeated and subsequent endosurgical operations in patients with neuromuscular diseases of the esophagus and gastroesophageal reflux disease in the presence of hiatal hernia

• Burmistrov M.V.
• Sigal E.I.
• Karina M. Sharapova
• Vladimir I. Fedorov

Abstract

Background. The problem of modern gastroenterology is the treatment of neuromuscular diseases of the esophagus and gastroesophageal reflux disease on the background of hiatal hernia (НН).

Aim – to assess the immediate and long-term results of surgical treatment of patients with neuromuscular diseases of the esophagus and gastroesophageal reflux disease (GERD) on the background of HH.

Material and methods. On the basis of the Tatartan cancer center and the Tatarstan republic hospital, 353 minimally invasive surgical interventions were performed for neuromuscular diseases of the esophagus (achalasia of the cardia and cardiospasm) and 1200 associated with gastroesophageal reflux (GER). The work is based on the results of reoperations after surgical treatment of GER (50), as well as 34 reoperations after surgical treatment of cardia achalasia and cardiospasm.

Results. 20 year long experience in surgical treatment with the use of minimally invasive techniques in patients with a diagnosis of achalasia of the cardia, cardiospasm and GERD against the background of a HH was evaluated. The causes of relapses in both GERD and achalasia of the cardia, cardiospasm are analyzed, and long-term results of repeated and subsequent operations are presented.

Conclusion. Minimally invasive interventions in the form of Nissen and Geller operations should be carried out by experienced specialists who in the centers own not only in laparoscopic interventions, but also have experience in open antireflux operations for these pathologies.

Keywords:gastroesophageal reflux disease; achalasia of the cardia; esophagocardiospasm; complications of laparoscopic antireflux operations; repeated and subsequent surgery

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