Диагностика и лечение гастроэзофагеальной рефлюксной болезни у пациентов с висцероптозом

The morphological survey illustrated the dependence of GERD with chronic large intestinal stasis (CLIS). Pathologic changes of esophageal mucosa, stomach and duodenum were frequently observed in patients with GERD of suband de-compensated degrees of CLIS. As a result of the roentgenoscopy of esophagus and stomach we detected a great amount of episodes of transit relaxation of lower esophageal sphincter as the cause of GERD. Cardia insuffiency was observed in 22%, pathologic gastroesophageal reflux in 79% of patients. The indications to surgical correction of switching cardia function are: insuffiency of lower esophageal sphincter it is not dependent on a degree of GERD. The remote results of operations in more than 70% of cases are regarded as good.