Novosti
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Year 2016 Vol. 24 No 3
CASE REPORTS
A.V. VOROBEY ¹,², E.I. VIZHINIS¹,², G.A. POPEL ¹,², D.A. CHEPIK ²,³, Z.G. MASKALIK ²,³, A.M. MAKHMUDOV¹,²
CICATRICAL POST-BURN STRICTURE OF THE ESOPHAGUS: A REPEATED ESOPHAGOCOLOPLASTY
SEE ''Belarusian Medical Academy of Post-graduate education''¹,
The Republican Center of Surgical Gastroenterology and Coloproctology ²,
ME ''Minsk Regional Clinical Hospital'' ³,
The Republic of Belarus
The clinical case of the patient’s surgical treatment with the cicatricial esophageal stricture is presented. Gastrostomy was done as the initial procedure and later the retrosternal esophagoplasty with the right colon interposition was performed. Postoperative period was complicated by necrosis of the colon transplant, which was removed and the nourishing jejunostomy was applied. Due to the insufficient blood supply of the left colon flank, the patient was carried out the ligation of sigmoid artery for the left side colon revascularization by analogy with the technique of Shumacker H. and Battersby J. (1951) and Shalimov A.A. (1951), proposed by them to develop the vascular collaterals in the jejunum before esophagojejunoplasty. After restoration of an adequate blood supply in colonic transplant, the reconstructive-restorative procedures had been performed (laparotomy and esophagocoloplasty by using of left colon flank). Transpleural movement of transplant from the abdominal cavity to the neck using endoscope was considered the peculiarity of this case. It permitted to avoid thoracotomy. A clinical case is interesting by implementation of idea of revascularization of intestine to enhance blood supply to the colonic segment, allowing successfully to prepare left colon flank for esophagoplasty after right- sided esophageal graft necrosis.
Keywords: esophageal burn, abdominal cavity, cicatricial esophageal stricture, retrosternal and transpleural esophageal replacement, laparotomy, colonic transplant necrosis, esophagus mesentericography, revascularization.
p. 290-297 of the original issue
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Address for correspondence:
223040, Republic of Belarus,
Minsk region, p. Lesnoy – 1, UZ'' Minskaya
oblastnaya bolnitsa'',
kafedra khirurgii,
tel. office: 375 17 265-22-13,
375 17 265 -22-63
e-mail: dept–surg@hotmail.com,
Vorobey Aleksandr Vladimirovich
223040, Republic of Belarus,
Minsk region, p. Lesnoy – 1, UZ'' Minskaya
oblastnaya bolnitsa'',
kafedra khirurgii,
tel. office: 375 17 265-22-13,
375 17 265 -22-63
e-mail: dept–surg@hotmail.com,
Vorobey Aleksandr Vladimirovich
Information about the authors:
Vorobey A.V. A Corresponding member of NAS of Belarus, MD, professor, a head of the surgery chair of SEE ''Belarusian Medical Academy of Post-graduate Education'', a chief of the Republican Center of Surgical Gastroenterology and Coloproctology.
Vizhinis E.I. PhD, an associate professor of the surgery chair of SEE ''Belarusian Medical Academy of Post-graduate Education''.
Popel G.A. An assistant of the surgery chair of SEE ''Belarusian Medical Academy of Post-graduate Education''.
Chepik D.A. A head of the surgical department ¹1 of ME ''Minsk Regional Clinical Hospital''.
Maskalik Z.G. An endoscopist of ME ''Minsk Regional Clinical Hospital''.
Makhmudov A.M. A senior lecturer of the surgery chair of SEE ''Belarusian Medical Academy of Post-graduate Education''.
Vorobey A.V. A Corresponding member of NAS of Belarus, MD, professor, a head of the surgery chair of SEE ''Belarusian Medical Academy of Post-graduate Education'', a chief of the Republican Center of Surgical Gastroenterology and Coloproctology.
Vizhinis E.I. PhD, an associate professor of the surgery chair of SEE ''Belarusian Medical Academy of Post-graduate Education''.
Popel G.A. An assistant of the surgery chair of SEE ''Belarusian Medical Academy of Post-graduate Education''.
Chepik D.A. A head of the surgical department ¹1 of ME ''Minsk Regional Clinical Hospital''.
Maskalik Z.G. An endoscopist of ME ''Minsk Regional Clinical Hospital''.
Makhmudov A.M. A senior lecturer of the surgery chair of SEE ''Belarusian Medical Academy of Post-graduate Education''.
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