CORRECTION OF HIATAL HERNIAS WITH RESECTION SURGICAL INTERVENTIONS (TECHNICAL ASPECTS AND FIRST RESULTS)
Abstract
Surgical treatment of hiatal hernia and GERD with the use of fundoplications and cruroraphy is accompanied by relapses in 18-50% of cases. The highest risk of recurrence in patients suffering from hiatal hernias of types III and IV, recurrent hiatal hernias, obesity, diabetes mellitus, hiatal hernia and GERD after sleeve gastrectomy. Since 2017, in the above nosological groups, we have been using laparoscopic Collis surgery with Roux-en-Y gastric bypass to correct hiatal hernia and GERD. 187 operations were performed. Recurrence of hiatal hernia and GERD in the follow-up period of up to five years have not been registered. In the long–term postoperative period, one complication was found - peptic ulcer of gastrojunoanastomosis. The cause of the complication is the length of the gastric tube more than 5 cm. A gastrojunoanastomosis resection was performed with a shortening of the gastric tube to 5 cm and the formation of a new gastrojunoanastomosis with a good long-term result. Conclusion: Collis surgery with Roux-en-Y gastric bypass is an effective and safe procedure for the correction of hiatal hernia and GERD.
About the Author
A. N. Pryakhin
South Ural State Medical University;
State аutonomous healthcare institution "Regional clinical hospital № 3"
Russian Federation
Russian Federation
Chelyabinsk
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Review
For citations:
Pryakhin A.N. CORRECTION OF HIATAL HERNIAS WITH RESECTION SURGICAL INTERVENTIONS (TECHNICAL ASPECTS AND FIRST RESULTS). Title in english. 2022;17(4):90-95. (In Russ.)
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