Treatment of reflux esophagitis in patients with cardiofundal, subtotal and total hiatal hernias

Chernousov A.F.

Department of faculty surgery №1, Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation, Moscow, Russia

Khorobrykh T.V.

Vetshev F.P.

Sechenov First Moscow State Medical University of the Ministry of Health of the Russia, Moscow, Russia

SPIN RSCI: 5113-4846
Scopus AuthorID: 25932403400
ORCID: 0000-0001-6589-092X

Osminin S.V.

Sechenov First Moscow State Medical University of the Ministry of Health of the Russia, Moscow, Russia

Korotkiy V.I.

Chair of Faculty-Based Surgery №1, Burdenko Clinic of Faculty-Based Surgery, Sechenov First Moscow State Medical University of Ministry of Health of the Russian Federation, Moscow, Russia

Abdulkhakkimov N.M.

Chair of Faculty-Based Surgery №1, Burdenko Clinic of Faculty-Based Surgery, Sechenov First Moscow State Medical University of Ministry of Health of the Russian Federation, Moscow, Russia

Chesarev A.A.

Salikhov R.

Chair of Faculty-Based Surgery №1, Burdenko Clinic of Faculty-Based Surgery, Sechenov First Moscow State Medical University of Ministry of Health of the Russian Federation, Moscow, Russia

Treatment of reflux esophagitis in patients with cardiofundal, subtotal and total hiatal hernias

Authors:

Chernousov A.F., Khorobrykh T.V., Vetshev F.P., Osminin S.V., Korotkiy V.I., Abdulkhakkimov N.M., Chesarev A.A., Salikhov R.

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Journal: Pirogov Russian Journal of Surgery. 2019;(6): 41‑48

DOI: 10.17116/hirurgia201906141

Downloaded: 49

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To cite this article:

Chernousov AF, Khorobrykh TV, Vetshev FP, et al. . Treatment of reflux esophagitis in patients with cardiofundal, subtotal and total hiatal hernias. Pirogov Russian Journal of Surgery. 2019;(6):41‑48. (In Russ.)
https://doi.org/10.17116/hirurgia201906141

Подписка 2025 (Pirogov Russian Journal of Surgery)

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Aim — to analyze treatment of patients with reflux esophagitis and large hiatal hernia. Material and methods. There were 85 patients with reflux esophagitis and large hiatal hernia. Laparoscopic repair was performed in 33 patients, laparotomy — in 52 cases. All patients underwent fundo- or gastroplication by A.F. Chernousov, correction of large defect of hiatal orifice by cruroraphy was applied in 55 (64.7%) patients. Results. Postoperative morbidity was near 10% after laparoscopic and conventional surgery despite more difficult video-assisted endoscopic technique. Complications Clavien—Dindo grade I—II were noted in 4 (12.1%) patients after laparoscopic treatment and in 6 (11.5%) patients after laparotomy. Medication was effective in all cases. Two patients with subtotal hernias had complications Clavien—Dindo grade IIIB after endoscopic surgery: recurrent hiatal hernia followed by severe reflux esophagitis and dysphagia. These complications required redo surgery. Repair of hiatal orifice is always possible without mesh reinforcement. Posterior cruroraphy is feasible and effective in all patients. Incidence of intraoperative and postoperative complications is comparable in both approaches (p<0.05). Mean hospital-stay after laparotomy was 7.3 days, after laparoscopy — 5.8 days. Conclusion. Endoscopic formation of antireflux cuff by A.F. Chernousov is appropriate and effective in patients with reflux esophagitis and large/giant hiatal hernias.

Keywords:

surgical treatment of HH

fundoplication

large hiatal hernia

cruroraphy

reflux esophagitis

treatment of reflux esophagitis

GERD

treatment of GERD

Authors:

Chernousov A.F.

Khorobrykh T.V.

Vetshev F.P.

Sechenov First Moscow State Medical University of the Ministry of Health of the Russia, Moscow, Russia

SPIN RSCI: 5113-4846
Scopus AuthorID: 25932403400
ORCID: 0000-0001-6589-092X

Osminin S.V.

Sechenov First Moscow State Medical University of the Ministry of Health of the Russia, Moscow, Russia

Korotkiy V.I.

Chair of Faculty-Based Surgery №1, Burdenko Clinic of Faculty-Based Surgery, Sechenov First Moscow State Medical University of Ministry of Health of the Russian Federation, Moscow, Russia

Abdulkhakkimov N.M.

Chair of Faculty-Based Surgery №1, Burdenko Clinic of Faculty-Based Surgery, Sechenov First Moscow State Medical University of Ministry of Health of the Russian Federation, Moscow, Russia

Chesarev A.A.

Salikhov R.

Chair of Faculty-Based Surgery №1, Burdenko Clinic of Faculty-Based Surgery, Sechenov First Moscow State Medical University of Ministry of Health of the Russian Federation, Moscow, Russia

List of references:

Ivashkin VT, Sheptulin AA. Bolezni pishchevoda I zheludka. M.: MEDpress-inform, 2002. (In Russ.)
Callaway J, Vaezi M. Hiatal and Paraesophageal Hernias. Clinical Gastroenterology and Hepatology. 2018;16(6):810-813. https://doi.org/10.1016/j.cgh.2017.12.045
Landreneau R, Johnson J, Marshall J, Hazelrigg S, Boley T, Curtis J. Clinical spectrum of paraesophageal herniation. Digestive Diseases and Sciences. 1992;37(4):537-544. https://doi.org/10.1007/bf01307577
Puchkov KV, Filimonov VB. Gryzhi pishchevodnogo otverstiya diafragmy. M. 2003. (In Russ.)
Mittal A, Sizemore J, Sangani R, Parker J. Severe Chronic Hiatal Hernia Complicated by Intrathoracic Gastric Volvulus. Chest. 2017;152(4):A 250. https://doi.org/10.1016/j.chest.2017.08.276
Chernousov AF, Horobryh TV, Vetshev FP. Reflyuks-ehzofagit. Prakticheskaya medicina. 2017;14. (In Russ.)
Chernousov AF, et al. Hirurgicheskie bolezni: uchebnik. Prakticheskaya medicina. 2017. (In Russ.)
Awad Z. The Short Esophagus. Archives of Surgery. 2001;136(1):113. https://doi.org/10.1001/archsurg.136.1.113
Khan A. Impact of obesity treatment on gastroesophageal reflux disease. World Journal of Gastroenterology. 2016;22(4):1627. https://doi.org/10.3748/wjg.v22.i4.1627
Müller-Stich B, Achtstätter V. Repair of Paraesophageal Hiatal Hernias — Is a Fundoplication Needed? A Randomized Controlled Pilot Trial. Journal of the American College of Surgeons. 2015;221(2):602-610. https://doi.org/10.1016/j.jamcollsurg.2015.03.003
Luketich JD, Raja S. Laparoscopic Repair of Giant Paraesophageal Hernia: 100 Consecutive Cases. Lippincott Williams & Wilkins Inc., 2000. https://doi.org/10.1097/00000658-200010000-00016
Oelschlager B, Pellegrini C. Biologic Prosthesis Reduces Recurrence After Laparoscopic Paraesophageal Hernia Repair. Transactions of the Meeting of the American Surgical Association. 2006;124:146-155. https://doi.org/10.1097/01.sla.0000237759.42831.03
Antiporda M, Veenstra B. Laparoscopic repair of giant paraesophageal hernia: are there factors associated with anatomic recurrence? Surgical Endoscopy. 2017;32(2):945. https://doi.org/10.1007/s00464-017-5770-z
Yatabe K, Ozawa S. Late esophageal wall injury after mesh repair for large esophageal hiatal hernia: a case report. Surgical Case Reports. 2017;3(1):126. https://doi.org/10.1186/s40792-017-0401-4
Stadlhuber R, Sherif A. Mesh complications after prosthetic reinforcement of hiatal closure: a 28 case series. Surgical Endoscopy. 2008;23(6):1219-1226. https://doi.org/10.1007/s00464-008-0205-5

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