Abstract
This study based on the experience of treatment of 57 patients who previously were operated at the clinic for cancer of the stomach and esophagus. These patients had complications in the form of esophageal anastomotic leakage and esophageal anastomotic stricture. There were 9 patients with esophageal-gastric anastomotic leakage , 11 patients with esophageal - intestinal anastomotic leakage, 20 patients with a stricture of esophageal - gastric anastomosis, 17 patients with a stricture of esophageal - intestinal anastomosis. All the patients were undergone stenting of esophageal anastomosis. The results of using this method of treatment were estimated. Stenting of the esophagus with self-expandable stents with a coating is a method of choice for the treatment of patients with insolvency of esophageal anastomosis and avoids traumatic surgery, especially in weakened patients, as well as helps to save lives in patients with these severe complications. When scarring strictures of esophageal anastomosis, especially when other methods of treatment (boughing, balloon dilatation) fail, stenting is also a very effective minimally invasive method that can restore the passage of the gastrointestinal tract and improve the quality of life of the patient, as well as an alternative to traumatic surgery to correct stricture of esophageal anastomosis.
Highlights
1 - ГУ «Институт общей и неотложной хирургии имени В.Т
This study based on the experience of treatment
of 57 patients who previously were operated at the clinic for cancer
Summary
Резекций желудка и пищевода стенозы анастомозов формируются у 9–30% пациентов [7]. В.Т.Зайцева НАМНУ» нами был накоплен опыт по применению стентов при лечении послеоперационных осложнений в зоне пищеводных анастомозов таких, как рубцовая стриктура анастомоза и несостоятельность анастомоза. Стентирование пищевода саморасширяющимися стентами с покрытием является методом выбора при лечении пациентов с несостоятельностью пищеводных анастомозов и позволяет избежать травматичных операций, особенно у ослабленных больных, а также позволяет спасти жизнь больным при этих тяжелых осложнениях. 2. При рубцовых стриктурах пищеводных анастомозов, особенно при неуспешности других методов лечения (бужирование, баллонная дилатация) стентирование также является очень эффективным миниинвазивным методом, позволяющим восстановить проходимость желудочно – кишечного тракта и улучшить качество жизни больным, а также является альтернативой травматичным операциям по коррекции стриктуры пищеводного анастомоза.
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