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In 39 patients cardiospasm was associated with a hiatal hernia or the latter was formed in the process of treatment by cardiodilatation. An analysis of results of the treatment has shown that pneumocardiodilatation under control of esophagomanometry should be considered the method of choice in the treatment of such patients. The decreased gradient of the gastroesophageal pressure up to 12-14 mm of mercury is responsible for prevention of reflux-esophagitis. Operative treatment is indicated when cardiodilatation is ineffective or the manometric control is impossible. Cardiomyotomy in combination with an "incomplete" fundoplication is preferable. There are no good reasons for performing fundoplication after Nissen in patients with cardiospasm.
A F Chernousov, and
A A Cherniavskiĭ, and
P I Tofan
April 1966,
Zentralblatt fur Chirurgie,
A F Chernousov, and
A A Cherniavskiĭ, and
P I Tofan
September 1955,
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A F Chernousov, and
A A Cherniavskiĭ, and
P I Tofan
January 1994,
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A F Chernousov, and
A A Cherniavskiĭ, and
P I Tofan
January 1985,
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A F Chernousov, and
A A Cherniavskiĭ, and
P I Tofan
May 1974,
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A F Chernousov, and
A A Cherniavskiĭ, and
P I Tofan
January 1955,
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A F Chernousov, and
A A Cherniavskiĭ, and
P I Tofan
November 1964,
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A F Chernousov, and
A A Cherniavskiĭ, and
P I Tofan
February 1958,
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A F Chernousov, and
A A Cherniavskiĭ, and
P I Tofan
May 1962,
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A F Chernousov, and
A A Cherniavskiĭ, and
P I Tofan
October 1989,
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