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Khirurgii

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Year 2013 Vol. 21 No 6

GENERAL AND SPECIAL SURGERY

V.L. BELEVICH, D.V. OVCHINNIKOV, A.O. BREDNEV

ENDOSCOPIC METHODS OF ELIMINATION OF DYSPHAGIA SYNDROME IN STENOSING DISEASES OF THE ESOPHAGUS AND RELATED-COMPLICATIONS

FSOMEE HPE “Military Medical Academy named after S.M. Kirov”, MD RF
Saint-Petersburg,
The Russian Federation

Objectives. To assess the experience of stents application, formulate the main indications and contraindications for the esophageal stenting, prove that the esophageal stenting with self-expandable metal stents is considered as the treatment of choice in incurable patients.
Methods. Within the period from 2007 to 2012 yrs. 68 patients have treated for the cancer of esophagus and gastric cardia, 2 patients with benign esophageal strictures were subjected to stenting at the general surgery department of the Military Medical Academy named after S.M. Kirov. The group of patients included 53 men and 17 women. 60 patients with dysphagia grade III-IV have been examined, 6 of them – with trachea-esophageal, 2 – esophageal-pleural fistulas formed during the tumor disintegration, 2 patients were treated for burn strictures of the esophagus. M.I. Tech's esophageal stents of Korean firm were used. Insertion was carried out by short endoscopic delivery systems of a small diameter.
Results. Satisfactory evaluation of the stent state and adequate stent expansion, absence of any misplacement were considered as an indication for starting oral food intake. Patients may be allowed to go home shortly after an esophageal stent procedure (the same day). The first day the patient could use water and foods need to be liquid, moist and soft, in the following days it was possible to increase the density of products.
Conclusions. The study found that stenting of the esophagus is a current method of endoscopic surgery, aimed at the expanding and maintaining of the lumen of the esophagus by means of the inserted self-expandable stents. Esophageal stenting possesses by fewer complications unlike other techniques. The role of palliative treatment (for example, stenting) is considered to reduce dysphagia, improve the quality of life and increase life expectancy.

Keywords: esophageal stricture, stenting, esophageal cancer, tracheoesophageal fistula
p. 24 – 28 of the original issue
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Address for correspondence:
194044, Rossiiskaia Federatsiia, g. Sankt-Peterburg, ul. Akademika Lebe-deva, d. 6, FGKVOU VPO «Voenno-meditsinskaia akademiia imeni S.M. Kirova» MO RF, kafedra obshchei khirurgii,
e-mail: val-belevich@yandex.ru,
Belevich Valerii Leont'evich
Information about the authors:
Belevich V.L. PhD., a senior lecturer of the chair of general surgery of FSOMEE HPE “Military Medical Academy named after S.M. Kirov”, colonel of medical service.
Ovchinnikov D.V. PhD., a senior assistant of a head of the department (preparing of scientific-project complex and organization of the research work), FSOMEE HPE “Military Medical Academy named after S.M. Kirov”, major of medical service.
Brednev A.O. An adjunct of the chair of general surgery of FSOMEE HPE “Military-Medical Academy named after S.M. Kirov”, senior lieutenant of medical service.
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