[Prevention of postoperative reflux esophagitis in patients with duodenal ulcer].
The incidence of reflux-esophagitis was studied in 574 dispensary patients and 217 patients operated upon for ulcer disease. It was found that reflux-esophagitis is observed in 19.8% of patients with ulcer disease and in 34% of such patients subject to operation. The main cause of it is incompetence of the cardiac sphincter without or in combination with a hernia of the esophageal opening. It was noted that vagotomy leads to a disturbance of the ligamentous system of the cardio-esophageal zone and in all cases leads to the development of reflux-esophagitis. Fundoesophagorraphy is thought to be the best method of preoperative treatment of reflux-esophagitis.
Rychagov
G P
GP
D004381:Duodenal Ulcer / Q000601:surgery*; D004942:Esophagitis, Peptic / Q000209:etiology / Q000517:prevention & control*; D004947:Esophagus / Q000601:surgery*; D005748:Gastric Fundus / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*; D013536:Suture Techniques; D014629:Vagotomy, Proximal Gastric / Q000009:adverse effects*
Profilaktika posleoperatsionnogo refliuks-ézofagita u bol'nykh iazvennoĭ bolezn'iu dvenadtsatiperstnoĭ kishki.