title: [Modern aspects of surgical treatment with gastroesophageal  reflux desease: our experience and literature review].
abstract: It is presented our experience and review of literature of pathogenesis, symptomatology, diagnostics and surgical treatment of gastroesophageal reflux desease (GERD). A cohort of 104 patients (67 males and 37 females, median age - 42.5) who underwent "open" A. Chernousov modified Nissen fundoplication was evaluated for an follow-up period more than 10 years. In 23 cases with concomitant duodenal ulcer and gastric hypersecretion selective proximal vagotomy additionally was performed, 3 of them also underwent cholecistectomy and in 1 case - splenectomy because of spleen lymphoma. There were no mortality or major perioperative complication (1 case of iatrogenic splenectomy) in our series. Only 9 patients have transient episodes of mild dysphagia. Postoperative endoscopy an X-Ray revealed a good swallow and functional status of esophagus and stomach. The good and excellent results were achieved in more 90% of cases. No reinterventional surgery was needed.
authors.forename: M
authors.initials: M
authors.lastname: Kiladze
authors.forename: Sh
authors.initials: Sh
authors.lastname: Giuashvili
mesh_terms: D000328:Adult; D015331:Cohort Studies; D004381:Duodenal Ulcer / Q000601:surgery; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D018662:Fundoplication / Q000379:methods; D005764:Gastroesophageal Reflux / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery; D013156:Splenectomy / Q000379:methods; D016896:Treatment Outcome; D014628:Vagotomy / Q000379:methods