FIELD: medicine, surgery. SUBSTANCE: one should carry out superior-median laparotomy, mobilize left hepatic lobe. Incision of diaphragm is carried out along anterior edge of the ring of diaphragmatic esophageal opening. Diaphragm is exfoliated against inferior pericardial wall at 4 cm to the front. It is necessary to mobilize esophageal-gastric transition and suture under it the anterior gastric wall with P-shaped ligatures. Ligatures' ends are used to suture diaphragm from the side of mediastinum being 3 cm to the front against diaphragmatic incision. Esophageal-gastric transition is replaced towards the place of suturing to be fixed there by tightening ligatures under diaphragm. Diaphragmatic incision should be sutured. The method enables to develop antireflux valve at short esophagus of degree II. EFFECT: higher efficiency of operation. 5 dwg
