Ru Esophagoplasty

Roux or total esophagoplasty (TEPF) is one of the most reliable and effective methods of treating gastrointestinal diseases such as GERD, complicated by reflux esophagitis and hiatal hernia (HH).

The idea of ​​​​creating this operation appeared in the middle of the 19th century and belongs to the professor of the Krakow Academy Roux Julien (1803 - 1880). The development of reconstructive surgery as a separate area began in the 1960s in the USA and USSR, when, using various methods and techniques, life-optimal methods and techniques for restoring damaged tissues and organs were created. It was found that when reconstructing the esophagus, one should not limit itself to its restoration in the area of ​​damage, but it is necessary to create a new segment-like part for the esophagus, connecting to the stomach and reaching the level of the sternum. This operation was called “esophagotomy, gastric plasty and thoracic-intestinal anastomosis,” which means segmental resection of the esophagus, gastric plasty, creation of an anastomosis between the stomach with the formation of a new Roux-en-Y tube.

What is Roux-plasty of the esophagus? In gastroesophageal reflux disease, the esophagus is the most vulnerable organ due to the high level of esophageal esophagitis, as well as impaired motility of the esophagus with the development of its insufficiency; the reflux of stomach contents into the esophagus determines the severity of the pathological process. But for a long time before modern high-tech methods of surgical correction of the passage became available