Please use this identifier to cite or link to this item:
http://repo.knmu.edu.ua/handle/123456789/19083
Title: | Transchiatal Esophagogasroplasty with Gastrostomia on the Neck |
Authors: | Boyko, Valeriy Savvi, S. Korolevska, A. Zhidetsky, V. Makarov, Vitalii Syrovaya, A. Makarov, Volodymyr Zavada, О. |
Keywords: | esophagogastroplasty esophageal anastomosis |
Issue Date: | 2017 |
Publisher: | Scholars research library |
Citation: | Transchiatal Esophagogasroplasty with Gastrostomia on the Neck / V. V. Boyko, S. O. Savvi, A. Y. Korolevska, V. V. Zhidetsky, V. V. Makarov, A. O. Syrovaya, V. A. Makarov, O. A. Zavada // Der Pharmacia Lettre. – 2017. – № 9 (11). – P. 28–37. |
Abstract: | Introduction: The formation of esophageal anastomosis with esophagogastroplasty is still associated with a high incidence of complications. The main cause of mortality after esophagogastroplasty is the failure of esophageal anastomosis. Aim: The aim of the research was to improve results of esophagogastroplasty by prevention of postoperative complications. Materials and methods: The research is based on the analysis of gastrostomy on the neck whith esophagogastroplasty in patients who were treated during 2010-2017 years. The method of surgery which includes the extirpation of the esophagus with transhiatal esophagogastroplasty simultaneously with the formation of a single esophagogastroanastomosis and contact gastrostomy on the the left side of the neck. Results: Intraoperatively nasogastral tube in patients who had got a partial failure of formed on the neck esophagogastroanastomosis as postoperative complications was not removed and it was used for enteral feeding and limited a zone of the anastomotic failure till its closure. Mortality rate is 5% (acute cardiovascular insufficiency caused the death of 1 patient). Conclusions: Developed and implemented in Clinic of the Institute method of a one-step transhiatal esophagogastroplasty with a single esophagogastroanastomosis and contact gastrostomy on the the left side of the neck in patients with extended postburn esophageal stricture in a condition of compensation and subcompensation can be considered as the treatment of choice. |
URI: | https://repo.knmu.edu.ua/handle/123456789/19083 |
Appears in Collections: | Наукові праці. Кафедра медичної та біоорганічної хімії |
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transchiatal-esophagogasroplasty-with-gastrostomia-on-the-neck.pdf | 433,64 kB | Adobe PDF | View/Open |
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