Grendahl Esophagoplasty [N. V. Groendahl; Syn. Grendahl Esophagogastroanastomosis)

Grendahl or anterior two-stage surgery using the “cut corner” technique is the most radical of all esophageal plastic surgeries. It was proposed by the Finnish surgeon Ninn Velin Grendahl in 1937. Now this technique is known under a slightly different name - “anterior enterofibroesophagotomy in combination with pyloric canal plasty.” Enterofibroscopic resection or pylorotomy is a reconstruction of the esophageal canal using a fiberscope - after dissection and resection of the esophagogastric sphincter, removal of cardiac tissue and manipulation to involve the anterior part of the stomach in the anatomical structure, then epiphrenectomy should be performed - excision of part of the distal stomach. A small body, called the “devil’s spur” by the patient, protrudes on the internal walls at the junction of the esophagus and stomach near the cardiac zone and is a factor in the development of obturator insufficiency syndrome of the gastric “valve system”. This pathology significantly complicates the process of swallowing food.

Narrow and deep sutures are formed in the area of ​​the medio- and distal segments of the esophagus, increasing motility throughout the gastrointestinal tract. The lateral section of the esophagus retains its functionally necessary properties and fully continues its evacuation function. Using an abdominal neosumopyelovenous anastomosis, an additional entry point is created. The gastric reservoir is emptied through a gastrostomy tube. The postoperative diet should contain an almost incompressible volume of dishes that require large expenditures of the patient's energy resources. The patient eats food in small portions about 6 - 8 times a day.

Grendal Esophagodoplasty, or alternatively Grendal Esophagogostropanostomy, is a surgical procedure used in medicine to treat patients suffering from cardiospasm. The operation is used to create a new opening between the stomach and esophagus to relieve the patient's spasmodic condition. This condition occurs when the muscles connecting the esophagus to the stomach become overly tight, causing the stomach acid to narrow and reduce the flow into the esophagus. This spasm can cause pain, difficulty swallowing, and other symptoms that can seriously limit a person's quality of life.

The purpose of this operation is to create a wider and more open opening between the stomach and the stomach to facilitate the passage of gastric juices and food into the digestive passages. During the operation, the surgeon makes a deep incision in the wall of the stomach and esophagus, which leads to the removal of the pores