[Gastroesophageal reflux after laparoscopic hiatal hernia repair in patients with axial hiatal hernia].

Objective: To find out significance of the main locking mechanisms of lower esophageal sphincter in the relapse of GERD in patients with axial hiatal hernia after previous antireflux laparoscopic surgery.

Material And Methods: There were 103 patients with GERD and axial hiatal hernia who underwent original circular laparoscopic esophagofundoplication with correction of hiatal opening dimensions by crural and hiatal repair. Depending on generalized DeMeester index (within the normal range or its excess), all patients were divided into two groups - without relapse (group 1, =88) and with recurrent GERD (group 2, =15).

[Endoscopic surgery for benign diseases and injuries of the esophagus (with commentary)].

Aim: To analyze the results of surgical treatment of patients with benign diseases and injuries of the esophagus.

Material And Methods: We summarized the experience of different endoscopic interventions in 159 patients with various benign diseases and perforation of the esophagus. Patients with achalasia (72 cases) underwent videolaparoscopic Geller's esophagomyotomy with anterior hemiesophagofundoplication by Dor.

[Endosurgery of benign diseases and injuries of esophagus].

Aim: To analyze the results of endoscopic interventions for benign diseases and injuries of the esophagus.

Material And Methods: 159 patients with benign diseases and perforation of the esophagus were operated. There were 72 (45.

[Choice of treatment in achalasia of the cardia].

Results of examination and treatment of 120 patients with cardiac achalasia (CA) are described. The investigation included 13 patients with the I stage of CA, 35 patients with the II stage, 50 patients with the III stage and 22 patients with the IV stage. Indications were established to cardiodilatation and operative treatment of CA.

[Results of surgical correction of constriction function of cardia].

The results of surgical correction of insufficiency of locking function of cardia in 113 patients are analysed. The X-ray and endoscopic examination, intraesophageal measurement of pH, manometry in esophago-gastric connection were used to study the reasons of cardia insufficiency in chronic diseases of gastro-intestinal tract. The indications for surgical correction of this status are formulated.