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

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

doi:https://doi.org/10.17116/hirurgia201906141

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

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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 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

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

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