Оперативное лечение гастроэзофагеальной рефлюксной болезни у детей

ÃÁÎÓ ÂÏÎ «Íèæåãîðîäñêàÿ ãîñóäàðñòâåííàÿ ìåäèöèíñêàÿ àêàäåìèÿ» Ìèíçäðàâñîöðàçâèòèÿ Ðîññèè 2 , Ðîññèéñêàÿ Ôåäåðàöèÿ Öåëü.Óëó÷øåíèå ðåçóëüòàòîâ õèðóðãè÷åñêîãî ëå÷åíèÿ ãàñòðîýçîôàãåàëüíîé ðåôëþêñíîé áîëåçíè ó äåòåé.Ìàòåðèàë è ìåòîäû.Íåäîñòàòî÷íîñòü ïèùåâîäíî-æåëóäî÷íîãî ïåðåõîäà ÿâëÿåòñÿ îäíîé èç ïðè-÷èí ãàñòðîýçîôàãåàëüíîé ðåôëþêñíîé áîëåçíè (ÃÝÐÁ).Äëÿ óñòðàíåíèÿ ïèùåâîäíî-æåëóäî÷íîãî ðåôëþêñà ïðåäëîæíà ñîáñòâåííàÿ ìîäèôèêàöèÿ àíòèðåôëþêñíîé îïåðàöèè -ìîäèôèöèðîâàííûé êèñåòíûé øîâ íà ïèùåâîäíî-æåëóäî÷íé ïåðåõîä.Ïî äàííîé ìåòîäèêå ïðîîïåðèðîâàíî 7 ïàöèåíòîâ.Âñåì îïåðèðîâàííûì äî îïåðàöèè è â ïîñëåîïåðàöèîííîì ïåðèîäå áûëè âûïîëíåíû: ôèáðîãàñòðîäóîäåíîñêîïèÿ (ÔÃÄÑ), ðåíò-ãåíîëîãè÷åñêèå èññëåäîâàíèÿ, ðÍ-ìåòðèÿ, óëüòðàçâóêîâîå èññëåäîâàíèå (ÓÇÈ) îðãàíîâ áðþøíîé ïîëîñòè.Ðåçóëüòàòû.Ïðåäëîæåííûé ñïîñîá õèðóðãè÷åñêîãî ëå÷åíèÿ ãàñòðîýçîôàãåëüíîé ðåôëþêñíîé áîëåçíè óñòðàíÿåò íåäîñòàòî÷íîñòü ïèùåâîäíî-æåëóäî÷íîãî ïåðåõîäà, äàåò õîðîøèå ôóíêöèîíàëüíûå è êëèíè-÷åñêèå ðåçóëüòàòû â áëèæàéøåì è îòäàëåííîì ïîñëåîïåðàöèîííîì ïåðèîäàõ, ÷òî ïîäòâåðæäåíî êëèíèêîëàáîðàòîðíûìè äàííûìè.Âûâîäû.Àíòèðåôëþêñíàÿ îïåðàöèÿ -ýçîôàãîôóíäîïëèêàöèÿ ìîäèôèöèðîâàííûì êèñåòíûì øâîì ýôôåêòèâíà, óñòðàíÿåò ïàòîëîãè÷åñêèé ðåôëþêñ ó âñåõ ïàöèåíòîâ è äàåò õîðîøèå ôóíêöèîíàëüíûå ðåçóëüòàòû. Êëþ÷åâûå ñëîâà: ãàñòðîýçîôàãåàëüíàÿ ðåôëþêñíàÿ áîëåçíü, äåòè, ðåôëþêñ-ýçîôàãèò, ýçîôàãîôóíäîïëèêàöèÿObjectives.To improve the surgical treatment results of the gastroesophageal reflux disease in children. Methods.Gastroesophageal junction insufficiency is one of the causes of the gastroesophageal reflux disease (GERD).To eliminate the gastroesophageal reflux we suggest our own modification of the anti-reflux surgery -the modified purse-string suture on the gastroesophageal junction.7 patients have been operated on according to this technique.Fibrogastroduodenoscopy, X-ray, pH-metry, ultrasound of the abdominal cavity organs have been carried out in all operated patients before and after the surgery.Results.The proposed technique of the surgical treatment of the gastroesophageal reflux disease eliminates the gastroesophageal junction insufficiency as well as it yields good functional and clinical results in the nearest and distant postoperative periods that is backed by clinical-laboratory data. Conclusions.Anti-reflux surgery, esophagofundoplication with the modified purse-string suture, is effective; it eliminates pathological reflux in all patients and yields good functional results.