Formation of a gastrostomy at treatment of patients with extended cicatrical strictures of a gullet

Abstract

The method of treatment of patients with extended cicatrical strictures of a gullet by an establishment of gastrostomy is offered in this article. 87 patients who were on hospitalization in GI “V. T. Zaytsev IGES of NAMS of Ukraine” were investigated. Patients were divided into two groups: the main (43 patients) and control group (44 patients). The contact gastrostomy was created in Institute clinic for patients of the main group. Other gastrostomy was created by the standard technique according to Kader for patients of the control group. Disadvantages of Kader`s gastrostomy is eruption of purse-string suture, loss of the gastrostomy tubes, impossibility to use a esophagogastroplasty. And also, such operations are longer, difficult and traumatic. In this regard, two-stage tactics of the treatment of such patients is developed and introduced in our clinic. At the first stage the contact gastrostomy is applied to the patient (the patent of Ukraine № 92441 of August 11, 2014). At the second stage the plasticity of the gullet is performed using the interponat from stomach walls prepared at the first stage.Advantages of the developed type of a gastrostomy are: decrease of a trauma and deformation of a stomach, minimization of disturbance of a circulation, considerably reduce a operation time and a disease severity. Thus, the developed way of a contact gastrostomy promotes improvement of treatment results and also the state of health of the operated patients.