Esophagogastroplasty as the second step of surgical treatment of patients with esophageal extensive postburn strictures

Actuality of the topic:

• Extended postburn esophageal strictures  are considered a challenging issue at present.
• Postburn cicatricial esophageal strictures  represent one of the most often encountered benign surgical diseases.
• About 90% of the patients with extensive postburn cicatricial esophageal strictures are people of young and middle age.
• Up to 80% of chemical burns happen accidentally.
• The management of patients is expensive and takes a long time.
• Reconstructive surgery often may not prevent the disability of the patients.

Purposes of the research:

• The restoration of a natural food passage in digestive tract.
• The improvement of the results of operative management of patients with postburn cicatricial esophageal strictures.
• The improvement of the life quality of the operated patients.

Conclusions:

The suggested transhiatal esophagogastroplasty with single anastomosis in the neck in the patients with extended postburn cicatricial esophageal strictures in the state of compensation and subcompensation:

• can be regarded as a safe and effective way of substitution of the esophageal function.
• can be regarded as the method of choice in surgical treatment of these patients.

This prospective research demonstrated promising results and needs to be continued.

Attached is the full presentation on the research.

Authors:

V. V. Boyko, S. O. Savvi, 

A. Y. Bodrova, V. V. Zhidetsky

State Institution «Zaitsev V.T. Institute of General and Urgent Surgery of National Academy of Medical Sciences of Ukraine»

Kharkiv , Ukraine

2016