Причины отказа от манжетки Ниссена и перехода к лечению ГЭРБ воссозданием клапана губарува

The analysis of the causes of failure of the concept, which is based on the recognition of the main reason for the pathogenesis of GERD weak lower esophageal sphincter, which served as a pretext to reject it, and from the operational reception with cuff Nissen. A concept that recognizes the key factor in the pathogenesis of GERD absence valve Gubarev, and technology forming the valve in the form of the folds of the front wall hernia of the stomach by the esophageal-gastric junction. The function of the valve is carried out due to the movement of the leaflet with the lower esophageal sphincter relative to front its arc, fixed aperture over the suture anterior to the esophageal ring esophageal opening, tensile bolus and reflex contraction without causing dysphagia without showing anatomical and functional degradation in distant periods reliably restraining gastroesophageal reflux.