Surgical treatment combination of gastroesophageal reflux disease and celiac trunk compression syndrome

The combination of gastroesophageal reflux disease and the celiac trunk compression syndrome is well known and reflected in the literature comorbidity. In some articles a possible pathogenetic relationship of these diseases was assumed. A common factor in the development of gastroesophageal reflux and the s celiac trunk compression syndrome can be disorganization of the motor function of the digestive tract on the background of their chronic ischemia. However there is no the confirmation or the refutation of this hypothesis. The various clinical aspects of the combination of both diseases insufficiently developed. The modern concept of treating gastroesophageal reflux disease involves conservative therapy. Surgical treatment of this illness is justified only in the not-effective pharmacological cases. Unfortunately, refractory gastroesophageal reflux symptoms noted in 15-40% of cases during the drug medication. The only effective option to eliminate the celiac trunk compression syndrome is the surgical restoration of the full-value blood flow along this vessel. The need to complement the celiac trunk decompression with antireflux reconstruction in comorbidity cases remains a controversial issue and requires further studies. In the article presents an analysis of the results of examination and treatment of 84 patients with a combination of the celiac trunk compression syndrome and gastro-esophageal reflux disease. The factors predetermined or determined the ineffectiveness of drug therapy for gastroesophageal reflux in that comorbidity were identified. The tactics of treatment the gastroesophageal reflux disease the patients with the background of the celiac trunk compression syndrome, was developed and justified.