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The clinical use of esophagogastroplasty with antireflux gastroesophageal anastomosis was analyzed basing on the data of 11 operated patients. All patients had benign strictures of the esophagus were operated on transhiatally. The long-term and early results demonstrated the efficacy of the sphincter-valve gastroesophageal anastomosis in prevention of reflux after distal esophagus resection and primary esophagogastroplasty.

The study substantiates the efficacy of the Roux reconstruction of the upper gastrointestinal tract in the surgical treatment of postresectional and postgastrectomic syndromes. Such reconstructive operations were performed in 16 patients. There were no postoperative mortality or specific complications registered. The short and long-term follow up demonstrated good compensation of the disorders, caused by the earlier radical gastric surgery. Thus, the method of the Roux reconstruction, amplified by the creation of functionally active sphincters and valves provides the satisfactory relief of the operated stomach disease.

17 patients suffering from axial hiatal hernias with marked duodenogastroesophageal reflux underwent surgical treatment including selective proximal vagotomy combined with formation of closing cardia mechanism, enhancement in are flux function of pylorus, correction of duodenostasis. Specific postoperative complications and lethal outcomes were not observed. Increase of life quality was observed among patients in early and long-term postoperative periods in comparison with preoperative indices. Relapses or regurgitation disturbances were not observed either.