Conceptual approach to pathogenesis and surgical treatment of gastroesophageal reflux disease

The article urgues that absence of Gubarev’s valve is the key factor of pathogenesis of gastroesophageal reflux disease (GERD). Authors suggest operative technique of the valve reconstruction in a posterior mediastinum for the patients with GERD, associated with cardiac hiatal hernia. The method did not cause complicatations in the form of postoperative dysphagia and recurrece of disease in the long-term periods.