[Characteristics of the fundoplication in patients with shortened esophagus].

Antireflux surgery in recent years become a standard treatment for complicated forms of gastroesophageal reflux disease (GERD). Complicated forms of GERD are usually the result of the availability of hiatal hernia (HH). Acquired shortening of the esophagus is a natural complication of severe reflux esophagitis developing on a background of sliding HH. Among surgeons disagree about the appropriateness of the laparoscopic antireflux interventions for patients with a shortening of the esophagus. On the basis of the Central Research Institute of Gastroenterology 35 patients were performed to laparoscopic surgery by truncation of the esophagus. Analysis of results showed the efficacy and safety of laparoscopic access for treatment of reflux esophagitis in patients with the esophagus truncation.

[Experience in fibrin glue application for the treatment of non-formed fistulas of the gastrointestinal tract].

Fibrin glue was used for conservative closure of non-formed fistulas of the gastrointestinal tract in 38 patients. The variant of fibrin glue produced with cryoprecipitation (concentration of coagulant protein not less than 60 g/l) was applied as reparation stimulator. Fibrin glue has been used for closure of 8 duodenal and 4 gastric fistulas with chime loss to 1.5 l per day. Surgeries for palliative arrest of the intestinal loop with a fistula and classical obturators were not performed. The fistulas have been closed in 36 patients, 3 patients died (only 1 of them due to fistula). Fibrin glue reduced surgical aggression and improved treatment results in critically ill patients.