[Diagnosis and treatment of primary peptic stricture of the esophagus].

Results of treatment of 271 patients, suffering primary peptic stricture of the esophagus (PPSE), were analyzed. Application of antireflux operation on esophagogastic junction with forceful esophageal bougienage had permitted to achieve recovery in majority of them. Esophageal resection is indicated in PPSE, which do not submit instrumental dilatation and in presence of high-grade dysplasia, situated within the organ segments, affected by metaplasia.

[Performance of restoration surgeries in postburn stenosis of the esophagus and stomach]. / Vypolnenie vosstanovitel'nykh operatsii pri posleozhogovom stenoze pishchevoda i zheludka.

The thirty-years experience of treatment of 987 patients with postburn stenosis of the gut upper parts was summarized. Of the total amount of restorational operations performed in 431 patients there were: esophagoplasty using colon--in 313 (72.62%), small intestine--in 26 (6.04%), stomach--in 66 (15.32%), segment of colon and ileum on the vascular pedicle--in 10 (2.31%), autotransplantation of jejunal segment--in 2 (0.47%), esophagocardioplasty--in 5 (1.15%), plasty with application of local tissues--in 9 (2.09%). Total mortality had constituted 6.96%, but during last 12 years it had subsided down to 1.91% due to perfection of the operations technique performed, new procedures introduction, the anesthesiological support improvement, wide usage of prophylactic measures for possibly occurring complications.

[First experience of laparoscopic esophagocardiomyotomy for achalasia of the cardia]. / Pervyi opyt laparoskopicheskoi ézofagokardiomiotomii pri akhalazii kardii.

The first experience of extramucosal laparoscopic esophagocardiomyotomy performance in 12 patients for achalasia of cardia was summarized. There were presented main technical stages of the operation, indications, early and immediate results of its application as well.

[Diagnosis and surgical treatment of secondary gastroesophageal reflux disease]. / Diagnostika i khirurgicheskoe lechenie vtorichnoi refliuksnoi bolezni pishchevoda.

Examination and treatment was performed in 69 patients with secondary gastroesophageal reflux disease (GERD), 61 (88.4%) of whom were primarily operated on for achalasia of cardia and GERD. The choice of the operation method was based on complex examination of the patients. Due to conduction of preoperative preparation it was possible to perform the most physiological antireflux fundoplication operations in the patients.

[Surgical treatment of gastroesophageal reflux disease in the presence of coexistent hiatal hernia]. / Khirurgicheskoe lechenie refliuksnoi bolezni pishchevoda pri nalichii soputstvuiushchei gryzhi pishchevodnogo otverstiia diafragmy.

Experience of treatment of coexistent hiatal hernia (HH) and gastroesophageal reflux disease (GERD) in 491 patients using simultant hernioplastic and antireflux operation was summarized. Complete fundoplication was performed in 478 (97.4%) patients, noncomplete one--in 13 (2.6%), cruroraphy--in 321 (65.4%), including complex method of hernioplasty--in 80 (16.3%). Postoperative mortality was 0.8% (4 patients). The tactical and methodical principles applied have permitted to guarantee the physiologicity and safety of the coexistent HH and GERD surgical treatment.