Peculiarities of surgical treatment of patients with gastroesophageal reflux disease

Keywords: gastroesophageal reflux disease; surgical treatment; long-term results.

Abstract

Objective. To analyze the effectiveness of various methods of laparoscopic antireflux operations in patients with gastroesophageal reflux disease.

Materials and methods. The results of treatment of 177 patients with gastroesophageal reflux disease from 2015 to 2021 were analyzed. Patients were divided into three groups: 1st - 62 patients who underwent laparoscopic antireflux surgery of our own modification (Patent of Ukraine No 59772); 2nd - 91 patients who underwent laparoscopic Nissen fundoplication; 3rd - 24 patients who underwent laparoscopic Toupet fundoplication. 

Results. 36 months after surgery in the 1st group the recurrence rate of gastroesophageal disease was 1.6%, recurrence of hernia of the esophageal orifice - 1.6%, in the 2nd group - 7.7 and 3.3%, respectively; in the 3rd group - 12.5 and 8.3%, respectively.

Conclusions. The application of a new integrated approach to the surgical treatment of gastroesophageal reflux disease reduces the number of postoperative complications (gas -bloat syndrome - 3 times, dysphagia - 5 times), the recurrence rate of gastroesophageal reflux disease - 5 times and recurrence of esophageal hernia - 2 times, improves the quality of life of patients 36 months after surgery in 2.6 times and increases the timeliness of diagnosis and facilitates the choice of differentiated treatment tactics.

Author Biographies

B. O. Matviychuk, Danylo Halytskyi Lviv National Medical University

Matviychuk Bohdan O. - MD, DSci(Med), Professor,
Head of the Department of Surgery and Endoscopy,
Faculty of Postgraduate Education,
Danylo Halytsky Lviv National Medical University;
69, Pekarska Str., 79010 Lviv, Ukraine
(032)252-96-68, 293-72-80;
bmatviychuk@yahoo.com
https://orcid.org/0000-0002-5495-2838

A. R. Stasyshyn, Danylo Halytskyi Lviv National Medical University

Stasyshyn Andrii R. - MD, DSci(Med), Associate Professor
Department of Surgery and Endoscopy,
Faculty of Postgraduate Education,
Danylo Halytsky Lviv National Medical University;
69, Pekarska Str., 79010, Lviv, Ukraine
+380637208429
astasyshyn@i.ua
https://orcid.org/0000-0002-6168-494X

A. A. Hurayevskyy , Danylo Halytskyi Lviv National Medical University

Hurayevskyy Artur A., MD, Assistant Professor
Department of Surgery and Endoscopy
Faculty Postgraduate Education
Danylo Halytsky Lviv National Medical University
69, Pekarska Str., 79010 Lviv, Ukraine
+380505852810
astasyshyn@i.ua
https://orcid.org/0000-0001-8893-7209

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Published
2021-03-28
How to Cite
Matviychuk, B. O., Stasyshyn, A. R., & Hurayevskyy , A. A. (2021). Peculiarities of surgical treatment of patients with gastroesophageal reflux disease. Klinicheskaia Khirurgiia, 88(1-2), 3-7. https://doi.org/10.26779/2522-1396.2021.1-2.03
Section
General Problems of Surgery