PMID- 23847808
OWN - NLM
STAT- MEDLINE
DCOM- 20130801
LR  - 20140108
IS  - 0450-2167 (Print)
IS  - 0450-2167 (Linking)
IP  - 1
DP  - 2013
TI  - Surgical treatment of benign diseases of the gastroesophageal junction in clinic 
      of endoscopic surgery at MMA during the period 2005-2012: pathophysiology, 
      surgical techniques and trends of their use.
PG  - 30-5
AB  - Treatment of the diseases of the gastroesophageal junction is one of the serious 
      problems faced by gastroenteorologist and surgeons. In contrast to the proton 
      pump inhibitors (PPI) surgery achieves a long symptoms free period. Laparoscopic 
      surgery has its advantages as an alternative to conventional surgery. The purpose 
      of this study was to compare the obtained results from patients treated with 
      laparoscopic surgical methods to the results of the patients treated with 
      conventional surgery and conservative treatment with PPI. MATERIALS AND METHODS: 
      The present study includes 99 patients: 90 patients with diaphragmatic hernia and 
      gastroesophageal reflux disease (GERD), 8 patients with achalasia and a benign 
      stricture of the lower third of the esophagus. All patients were operated by 
      laparoscopic techniques. 72% of the 99 patients were women and 28% men. The 
      average age of patients was 62 years. RESULTS: The majority of our patients had 
      mixed hiatal hernia--55.5%, followed by axial (23.3%) and hiatal (13.3%). The 
      most common method we used was anterior fundoplication (85.5%), we used the 
      Nissen fundoplication in 7.8% of the patients, crurorhaphy with mesh in 4.4% and 
      plain crurorhaphy in 2.2%. All patients had a mild postoperative period. 
      Analgesia with prophenid is done only in the first 24 hr. The average hospital 
      stay of the patients was 3 days. CONCLUSIONS: Partial laparoscopic fundoplication 
      is a method of choice for the anti-reflux surgery compared to conventional 
      surgery and drug therapy. Dysphagia is rare in patients with anterior 
      fundoplication and is easily influenced by conservative treatment, that's why is 
      our preferred method.
FAU - Kotashev, G
AU  - Kotashev G
AD  - Clinic of Endoscopic Surgery, Miltary Medical Academy, Sofia, Bulgaria.
FAU - Vasilev, K
AU  - Vasilev K
FAU - Ivanov, Pl
AU  - Ivanov P
FAU - Grigorov, Gr
AU  - Grigorov G
FAU - Kiossev, V
AU  - Kiossev V
FAU - Hristova, V
AU  - Hristova V
LA  - bul
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - Bulgaria
TA  - Khirurgiia (Sofiia)
JT  - Khirurgiia
JID - 0376355
SB  - IM
MH  - Esophageal Achalasia/*surgery
MH  - Esophagogastric Junction/*surgery
MH  - Female
MH  - Fundoplication/*methods
MH  - Gastroesophageal Reflux/*surgery
MH  - Hernia, Diaphragmatic/*surgery
MH  - Humans
MH  - Laparoscopy/*methods
MH  - Male
MH  - Middle Aged
MH  - Treatment Outcome
EDAT- 2013/07/16 06:00
MHDA- 2013/08/02 06:00
CRDT- 2013/07/16 06:00
PHST- 2013/07/16 06:00 [entrez]
PHST- 2013/07/16 06:00 [pubmed]
PHST- 2013/08/02 06:00 [medline]
PST - ppublish
SO  - Khirurgiia (Sofiia). 2013;(1):30-5.