DIAGNOSIS AND SURGICAL CORRECTION OF ANATOMICAL AND TOPOGRAPHIC CHANGES IN CASE OF COMPLICATED HIATAL HERNIAS

Resume. The aim of the study: improving efficiency surgical treatment for patients with hiatal hernia (HH) and HERD reflux esophagitis through development a step-by-step method aimed at saving anatomical topographic solutions physiological cardia.
 Materials methods. In 2017-2021, 78 HH were examined treated Department Digestive Surgery Institute Gastroenterology National Academy Medical Sciences Ukraine, in 16 (20, 8%) combination GERD esophagitis. To confirm diagnosis GERD, all undergo radiography, endoscopic examination, examination pressure level lower esophageal sphincter (LES).
 Results research. After follow-up found (20.8 %) (in 3 (3.8 — ulcers). ulcer was stages. first stage conservative therapy. course therapy during stricture detected. second balloon dilatation stricture. third antireflux surgery, which performed (100 patients, 11 (14.1 HH, new correction insufficiency cardia proposed.
 Conclusions. use phased complicated by proposed surgery ensures elimination pathological changes restores preserves relationship diaphragm esophagus. postoperative period, reduces likelihood cardia, dysphagia recurrence HH.