Registration Number
0220U101347,
0117U000579
, R & D reports
Title
Investigate fundamental disorders sphincter apparatus in the pathology esophagogastroduodenal zone, develop and improve methods their diagnosis and surgical correction with the use of minimally invasive technologies
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Head
Ratchik Vadim M., Доктор медичних наук
Registration Date
10-02-2020
Organization
State institution institute of gastroenterology of nams of Ukraine
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Object of the study - 91 patients with pathology of the sphincter apparatus of the esophagogastroduodenal zone: group I - 21 patients with pyloroduodenal stenosis of the ulcerative etiology, group II - 45 patients with esophageal esophageal hernia, group III - 25 patients with achalasia.
The purpose of the work is to improve the results of surgical treatment of the pathology of the esophagogastroduodenal zone by improving the functional reliability of valve and antireflux mechanisms with the restoration of the nutritional passage of nutrients.
Research methods - clinical, instrumental, morphological, biochemical, statistical. The equipment is an esophagogastroduodenoscope, X-ray surgery unit, light microscope, photoelectrocolorimeter, spectrophotometer, manometer.
Patients of group I with pathology of the pyloric sphincter are offered to perform a new combined endolaparoscopic surgery (endoscopic balloon pyloroduodenoplasty with laparoscopic combined vagotomy by Hill-Barker). , reduces the trauma of surgery and reduces the number of complications. With insufficiency of the lower esophageal sphincter in patients of group II antireflux reconstruction is achieved mobilization of the intraperitoneal region of the esophagus is not less than 4 cm, symmetrical fundoplication and restoration of the Gis angle. The structural inferiority and impossibility of convergence of diaphragm legs with their diastasis more than 3 cm, sizes of a diaphragm orifice more than 20 cm², which allowed to reduce the number of recurrences to 13,8%. The study of long-term results of mini-invasive interventions in patients with impaired patency of the lower esophageal sphincter in patients of group III with cardiac achalasia after the specified approach, showed a decrease in recurrence of the disease after the course of balloon pneumocardiodylation up to 28.0% and after laparoscopic episodes .
The results of the work are implemented in the medical-preventive institutions of Ukraine and have socio
Product Description
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Babiy Oleksandr M.
Gaidar Yurij A.
Galinskiy Oleksiy O.
Zigalo Elvira V.
Milostiva Dariya F.
Oshmianska Nataliia Yu.
Prolom Nataliya V.
Ratchik Vadim M.
Rudenko Anatolii I.
Tarabarov Sergii O.
Shevchenko Borys F.
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2020-04-02
