Features of treatment tactics for some clinical and pathogenetic variants of gastroesophageal reflux disease
https://doi.org/10.31146/2415-7813-endo-64-3-48-55
Abstract
Relevance Gastroesophageal reflux disease is a disease that has a complex mechanism of formation, causing a variety of clinical and pathogenetic features, realised during the development of the pathological process. The variety of tactical and methodological solutions in its treatment is formed from this premise. Material and Methods The authors have 25 years of experience, which consists in direct participation in the diagnostic and therapeutic process in several thousand patients with gastroesophageal reflux, including several hundred patients with cylindrocellular metaplasia and Barrett’s oesophagus. Results Determination of indications for surgical treatment of complicated and uncomplicated gastroesophageal reflux disease is a complex and responsible decision. It is necessary to take into account: the nature and severity of cylindrocellular metaplasia, the size of axial hernia and its combination with insufficiency of cardiac jejunum, the severity of jejunal insufficiency and preservation of diaphragmatic constriction, the state of Gis angle, the type and severity of reflux - esophagitis, as well as the presence of irreversible changes in the mucosa to determine the indications for correction and surgical tactics. It is necessary to pay attention to the severity of clinical manifestations of the disease.
About the Authors
V. N. Novikov
Perm Clinical Centre of the Federal Medical and Biological Agency of Russia
Russian Federation
Russian Federation
A. V. Sandratskaya
Perm Clinical Centre of the Federal Medical and Biological Agency of Russia
Russian Federation
Russian Federation
A. S. Ivanyuk
S.M. Kirov Military Medical Academy of the Ministry of Defence of Russia
Russian Federation
Russian Federation
E. V. Yakovleva
Perm Clinical Centre of the Federal Medical and Biological Agency of Russia
Russian Federation
Russian Federation
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For citations:
Novikov V.N., Sandratskaya A.V., Ivanyuk A.S., Yakovleva E.V. Features of treatment tactics for some clinical and pathogenetic variants of gastroesophageal reflux disease. Filin’s Clinical endoscopy. 2023;64(3):48-55. (In Russ.) https://doi.org/10.31146/2415-7813-endo-64-3-48-55
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