Keywords
гастректомія, субтотальна проксимальна гастректомія, резекція стравоходу, неспроможність анастомозу, стеноз анастомозу, стентування стравохідного анастомозу.
гастрэктомия, субтотальная проксимальная гастрэктомия, резекция пищевода, несостоятельность анастомоза, стеноз анастомоза, стентирование пищеводного анастомоза
How to Cite
Abstract
Abstract
ENDOSCOPIC TREATMENT OF ESOPHAGEAL ANASTOMOTIC STENOSЕS AND LEAKAGES
Boyko V., Belozerov I., Kudrevich O., Novikov Y., Savvi S., Makarov V., Hroma V., Sаrian I., Korolevska A., Bytyak S., Zhidetskyi V.
Endoscopic stenting of esophageal anastomosis due to anastomotic stenosis or leakage is increasingly being used as one of the most effective, minimally invasive and safe methods of treatment. Materials and methods. This research is based on the experience of treatment of 49 patients with gastric and esophageal cancer who previously were operated at the clinic and had complications such as esophageal anastomotic leakage and stenosis. Anastomotic leakage was observed in 21 cases: 9 patients were with gastroesophageal anastomosis, 12 patients were with esophagointestinal anastomosis. Stenosis of esophageal anastomosis were observed in 38 cases: 20 patients were with gastroesophageal anastomosis, 18 patients were with esophagointestinal anastomosis. Results. All patients were undergone endoscopic stenting of esophageal anastomosis. The results of using this method of treatment were estimated. Conclusions. Stenting of the esophagеal anastomosis by coated self-expanding stents is a method of choice in the treatment of patients with esophageal anastomotic leakage and stenosis.
Key words: gastrectomy, subtotal proximal gastrectomy, esophageal resection, anastomotic leakage, anastomotic stenosis, stenting of esophageal anastomosis.
Резюме.
ЕНДОСКОПІЧНЕ ЛІКУВАННЯ СТЕНОЗУ І НЕСПРОМОЖНОСТІ СТРАВОХІДНОГО АНАСТОМОЗУ
Бойко В.В., Бєлозьоров І.В., Кудревич О.М., Новіков Є.А., Савви С.О., Макаров В.В., Грома В.Г., Саріан І.В., Королевська А.Ю, Битяк С.Ю., Жидецький В.В.
Ендоскопічне стентування стравохідних анастомозів внаслідок стенозу або неспроможності анастомозу все частіше використовується як один з найбільш ефективних, мініінвазивних і безпечних методів лікування. Матеріали та методи. Дане дослідження засноване на досвіді лікування 49 пацієнтів з раком шлунка і стравоходу, які раніше були прооперовані в клініці і мали такі ускладнення, як стеноз або неспроможність анастомозу стравоходу. Неспроможність анастомозу спостерігалася в 21 випадку: 9 пацієнтів з гастроезофагеальним анастомозом, 12 пацієнтів із стравохідно-кишковим анастомозом. Стенози стравохідного анастомозу спостерігалися в 38 випадках: 20 пацієнтів були з гастроезофагеальним анастомозом, 18 пацієнтів були з стравохідно-кишковим анастомозом. Результати. Всім пацієнтам було проведено ендоскопічне стентування стравохідного анастомозу. Результати використання цього методу лікування були оцінені. Висновки. Стентування стравохідних анастомозів покритими саморозширювальними стентами є методом вибору при лікуванні пацієнтів з неспроможністю або стенозом стравохідного анастомозу.
Ключові слова: гастректомія, субтотальна проксимальна гастректомія, резекція стравоходу, неспроможність анастомозу, стеноз анастомозу, стентування стравохідного анастомозу.
Резюме.
ЭНДОСКОПИЧЕСКОЕ ЛЕЧЕНИЕ СТЕНОЗОВ И НЕСОСТОЯТЕЛЬНОСТЕЙ ПИЩЕВОДНЫХ АНАСТОМОЗОВ
Бойко В.В., Белозеров И.В., Кудревич А.Н., Новиков Е.А., Савви С.А., Макаров В.В., Грома В.Г., Сариан И.В., Королевская А.Ю, Битяк С.Ю., Жидецкий В.В.
Эндоскопическое стентирование пищеводных анастомозов вследствие стеноза или несостоятельности анастомоза все чаще используется как один из наиболее эффективных, миниинвазивных и безопасных методов лечения. Материалы и методы. Данное исследование основано на опыте лечения 49 пациентов с раком желудка и пищевода, которые ранее были прооперированы в клинике и имели такие осложнения, как стеноз или несостоятельность анастомоза пищевода. Несостоятельность анастомоза наблюдалась в 21 случае: 9 пациентов с гастроэзофагеальным анастомозом, 12 пациентов с пищеводно-кишечным анастомозом. Стенозы пищеводного анастомоза наблюдались в 38 случаях: 20 пациентов были с гастроэзофагеальным анастомозом, 18 пациентов были с пищеводно-кишечным анастомозом. Результаты. Всем пациентам было проведено эндоскопическое стентирование пищеводного анастомоза. Результаты использования этого метода лечения были оценены. Выводы. Стентирование пищеводных анастомозов покрытыми саморасширяющимися стентами является методом выбора при лечении пациентов с несостоятельностью или стенозом пищеводного анастомоза.
Ключевые слова: гастрэктомия, субтотальная проксимальная гастрэктомия, резекция пищевода, несостоятельность анастомоза, стеноз анастомоза, стентирование пищеводного анастомоза.
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