Open AccessReconstructive stage of surgery after cardiectomy
Author(s) -
В. Э. Тишакова,
Dmitry Valerievich Ruchkin,
А. В. Бондаренко
Publication year - 2021
Publication title -
kliničeskaâ medicina
Language(s) - English
Resource type - Journals
eISSN - 2412-1339
pISSN - 0023-2149
DOI - 10.30629/0023-2149-2020-98-11-12-752-758
Subject(s) - medicine , dumping syndrome , esophagus , anastomosis , malignancy , pathological , stage (stratigraphy) , surgery , reflux , stomach , reconstructive surgery , gerd , disease , general surgery , gastrectomy , cancer , gastroenterology , paleontology , biology
Thereis no consensus regarding the operation of choice for pathological changes in the proximal stomach, distal esophagus andthe area of the cardio-esophageal junction to the present day. In addition to malignancy and peptic ulcer disease, a refractorycourse of gastroesophageal reflux disease (GERD) and the absence of any effect from primary antireflux surgery may be anindication for performing cardiectomy with reconstruction. To make a choice of the surgical treatment for pathologies of thedistal esophagus and proximal stomach method, it is necessary to compare the efficiency and safety profiles of these techniquesin many parameters. The main indicators of the effectiveness of reconstructive operations after cardiectomy, are the frequencyand severity of a large group of functional disorders characterized as “dumping syndrome” or “postgastrectomy syndrome”.A huge number of different types of anastomosis after cardiectomy has been proposed and studied. Nevertheless, an an objectiveevaluation of the results of these anastomosis types’ use, indicates that the hopes placed on them did not come true in mostcases. It indicates insufficient coverage of this problem in scientific literature, despite the continuing interest of surgeons.