DISEASES OF THE ESOPHAGUS OF NON-TUMOROUS GENESIS
Abstract
Background. The destructive processes of the esophageal wall are accompanied by the rapid development of the phlegmon of the neck, mediastinitis, empyema of the pleura, peritonitis and lead to a high lethality up to 20-85%. The results of treatment of this pathology depend on early diagnosis and early surgical treatment.
Objective. To analyze own 30-year data of treatment of various non-tumorous diseases of the esophagus, to introduce minimally invasive procedures on the esophagus and to improve the results of treatment. Materials and methods. In the clinic 881 patients with various non-tumorous pathology of the esophagus were treated. All the patients underwent general clinical examination, as well as special examinations (ultrasound, CT, MRI, fibro-esophagogastroscopy, X-ray of the esophagus).
Results. 314 patients (35,6%) were operated. 23 patients died. Postoperative mortality was 7,6%. The highest mortality was observed after esophagus injury (25,7%).
Conclusion. The main method of treatment of postostigial strictures of the esophagus, as well as cardiospasm is bouginage and cardiodilatation. Minimally invasive thoracoscopic and laparoscopic interventions on the esophagus with GEB and diverticulum of the esophagus, cardiopathy are low-traumatic and shorten the period of treatment of patients.
References
1. Tamilevichjute DI, VitenasAM. Bolezni pishhevoda i kardii. 2nd ed. Moscow: Meditsina; 1986. 223 p. (Russian).
2. Chissov VI. Ushivanie i ukreplenie shvov stenki pishhevoda pri ee povrezhdenijah i svishhah v ostroj stadii [Suturing and Strengthening the Sutures of the Oesophagus Wall in Its Injuries and Fistulae in an Acute Stage]. Khirurgiya. Zhurnal imeni NI Pirogova [Journal Surgery named after NI Pirogov]. 1976;52(10):12-18. (Russian).
3. Komarov BD, Kanshin NN, Abakumov MM. Povrezhdenija pishhevoda. Moscow: Meditsina; 1981. 143 p. (Russian). Ignatjuk AN, Karpickij AS, Panko SV, Boufalik RI, Zhurbenko GA, Vakulich DS. 15-letnij opyt lechenija povrezhdenij pishhevoda. In: Kondratenko GG, Garelik PV, Zavada NV, Zareckij SV, Protasevich AI, Rychagov GP, Tatur AA, Shamodi TP, eds. Aktualnye voprosy neotlozhnoj hirurgii. Materialy plenuma hirurgov Respubliki Belarus i Respublikanskoj nauchno-prakticheskoj konferencii; 2016 November 3-4; Molodechno. Minsk; 2016. p. 311-313. (Russian).
4. Mozheyko MA, Batvinkov NI, Sushko AA, Mahiliavets EV. Lechenie travmaticheskih povrezhdenij pishhevoda [Treatment of traumatic esophageal injury]. Zhurnal Grodnenskogo gosudarstvennogo medicinskogo universiteta [Journal of the Grodno State Medical University]. 2013;2(42):28-31. (Russian).
5. Vancjan JeN, Toshhakov RA. Lechenie ozhogov i rubcovyh suzhenij pishhevoda. Moscow: Meditsina; 1971. 260 p. (Russian).
6. Stebunov SS. Laparoskopicheskaja fundoplikacija po Nissenu v lechenii gastrojezofagealnoj refljuksnoj bolezni. In: Kondratenko GG, Garelik PV, Zavada NV, Zareckij SV, Protasevich AI, Rychagov GP, Tatur AA, Shamodi TP, eds. Aktualnye voprosy neotlozhnoj hirurgii. Materialy plenuma hirurgov Respubliki Belarus i Respublikanskoj nauchno-prakticheskoj konferencii; 2016 November 3-4; Molodechno. Minsk; 2016. p. 469-471. (Russian).
7. Ivashkin VT, Truhmanov AS. Bolezni pishhevoda: patologicheskaja fiziologija, klinika, diagnostika, lechenie. Moscow: Triada-H; 2000. 178 p. (Russian).
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