PubMed · 5633671
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O F de Sequeira, O M Martins. 1967. [Mega-esophagus].. https://pubmed.ncbi.nlm.nih.gov/5633671/
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KEEP EXPLORING
The most commonly employed antireflux operation is the Nissen fundoplication. However, its origin and subsequent modifications are rarely defined. These aspects of the operation are reviewed in this article as are the results currently obtainable with the modern version of the operative procedure.
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Merits can be conferred upon S. S. Yudin not only in the improvement of the method of esophagoplasty with the small intestine suggested by C. Roux in 1907, but also in the development of reconstructive surgery of the esophagus on the whole. Although new methods for esophagoplasty have been suggested and new technical possibilities have appeared, many elements of surgical tactics, operative techniques, and instruments suggested by S. S. Yudin are still applied in reconstructive surgery of the esophagus. Among them are the detailed description of jejunal architectonics from the surgeon's point of view, the wide use of test compression of the mesenteric vessels to evaluate the adequacy of blood supply to the graft, description of the clinical signs of disturbed blood supply to the graft, etc. S. S. Yudin laid the foundations of scientific research into the morphological and functional reorganization of organs and tissues in prolonged existence under unusual conditions, which is of great theoretical importance. Twenty-year experience in reconstructive surgery of the esophagus allow the author of this article to appraise at their true worth the technical procedures and physiological approaches suggested by S. S. Yudin, which are being developed further under modern conditions. This applies to substantiation of the most reliable and physiological method of retrosternal esophagoplasty with the colon with isoperistaltic position of the graft, transpleural resection of a cicatricially deformed esophagus, surgical treatment of achalasia of the superior esophageal sphincter.