Gastroesophageal reflux disease in the practice of the therapist  of the polyclinic: terra incognita

Вовк, Е. И.; Sediakina, Iuliia V.; Шамуилова, М. М.; Носова, А. В.; Kurdgieva, Svetlana S.; Верткин, А. Л.

doi:10.26442/20751753.2020.8.200317

Cited by 5 publications

(1 citation statement)

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“…Медикаментозное лечение, направленное на купирование симптомов РЭ способно улучшить КЖ. Однако, при сочетании РЭ и ГПОД эффективность консервативного лечения значительно снижается, а в 40% наблюдений лекарственная терапия не приносит положительного эффекта [3]. В данном случае прибегают к хирургическому лечению, которое само по себе может существенно повлиять на КЖ пациентов.…”

Section: Introductionunclassified

Long-term outcomes of robot-assisted and laparoscopic operations for cardiofundal and subtotal hiatal hernias

Комаров

Егоров

Zamay

et al. 2023

jour

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Aim. To compare the long-term outcomes and qualitive of life (QOL) of robot-assisted fundoplication (RAF) and laparoscopic fundoplication (LF) in patients with cardiofundal and subtotal hiatal hernias (HH). Materials and methods. The study included 62 patients with HH, who underwent antireflux surgery in the clinic of Faculty Surgery No. 1 of Sechenov University in the period from January 2015 to February 2021. The main group included 32 patients who underwent robot-assisted fundoplication (RAF) according to A. F. Chernousov, the comparison group included 30 patients who underwent laparoscopic fundoplication (LF). Complaints of the patient, X-ray, endoscopic studies, PH-impedance-metry in the long-term period were evaluated. To assess the quality of life, the questionnaires SF 36 (The Short Form-36) and GERD-HRQL (Health-Related Quality of Life in Patients with Gastroesophageal Reflex Disease) were used. Results. Periodic heartburn in the long-term period was noted by 2 (6%) patients of the RAF group and 4 (13%) in the LF group. Endoscopic signs of mild esophagitis were detected in 1 (3%) patient from each group. X-ray in 9 (28%) patients of the RAF group and 11 (37%) patients of the LF group showed migration of the esophageal-gastric junction above the diaphragm level with complete preservation of the antireflux function of the fundoplication cuff. The QOL indicators of the SF 36 questionnaire did not differ in both groups and were comparable to the population of “conditionally healthy” people. The indicators of the GERD-HRQL questionnaire were better in the RAF group, but the differences had no statistical significance (RAF - 2.53 ± 5.1 points versus LF - 5.23 ± 9.4 points, p-value = 0.321). Conclusion. RAF and LF in the modification of A. F. Chernousov are equally effective in the treatment of RE and GPOD in the long-term period and provide good indicators of quality of life that do not differ statistically from each other.

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Section: Introductionunclassified

Long-term outcomes of robot-assisted and laparoscopic operations for cardiofundal and subtotal hiatal hernias

Комаров

Егоров

Zamay

et al. 2023

jour

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Robot-assisted and laparoscopic surgery in patients with cardiofundal and subtotal hiatal hernias: short-term results

Комаров¹,

Zamay²,

Ветшев³

et al. 2022

Endosk. khir.

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Hiatal hernia surgery: laparoscopic versus robotic approach?

Комаров

Zamay

Bilyalov

2022

Rossijskij žurnal gastroènterologii, gepatologii, koloproktolog

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Aim. Evaluate the advantages and disadvantages of laparoscopic and robot-assisted anti-reflux operations.General findings. Reflux esophagitis in the association with hiatal hernia on the third place in the structure of gastroenterological diseases. The development of minimally invasive surgical technologies has led to an increase in the number of laparoscopic and robot-assisted anti-reflux operations. The literature review includes 12 studies, the results of which were published from 2002 to 2020, with a total number of patients 1633. In most of them, when comparing laparoscopic and robot-assisted anti-reflux operations, the advantages of one or another technique were not revealed. In some studies, the high cost and duration of the operation were noted when using the da Vinci robotic surgical complex. Other studies have reported possible improvements in the treatment outcomes of patients with large or recurrent hiatal hernias due to the high precision of movement and improved visualization characteristic of therobot-assisted surgeries.Conclusion. It is necessary to conduct more researches on this problem to develop indications for the choice of a particular surgical approach, as well as to create a single transparent algorithm for the surgical treatment of patients with reflux esophagitis and hiatal hernia.

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Gastroesophageal reflux disease in the practice of the therapist of the polyclinic: terra incognita

Cited by 5 publications

References 0 publications

Long-term outcomes of robot-assisted and laparoscopic operations for cardiofundal and subtotal hiatal hernias

Long-term outcomes of robot-assisted and laparoscopic operations for cardiofundal and subtotal hiatal hernias

Robot-assisted and laparoscopic surgery in patients with cardiofundal and subtotal hiatal hernias: short-term results

Hiatal hernia surgery: laparoscopic versus robotic approach?

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