RESULTS OF RECONSTRUCTIVE SURGERY IN PATIENTS WITH POST-BURN SCAR ESOPHAGEAL STRICTURES
Aim. The results of surgical treatment in patients with post-burn cicatricial strictures of the esophagus have been studied. Material and methods. 150 reconstructive surgeries on esophagus in patients with post-burn scarring stricture of the esophagus have been performed in the department of surgery of the esophagus and stomach at RSCS named after Academician V. Vahidov for the period from 1991 to 2015. 51 patients were men (34%), 99 - women (66%) aged 14 to 68 years. The chemicals used were following: vinegar essence - in 105 patients (70%), alkali - in 20 (13,3%), concentrated potassium permanganate solution - in 1 (0,7%), sulfuric acid - in 14 (9,3%), hydrochloric acid - in 2 (1,3%) and unidentified chemical reagent - in 8 (5,3%) patients. Post-burn scarring stricture of the esophagus number distribution was following: single stricture - 25 patients (16,7%) and multiple lesions - 125 (83,3%) patients. Results and discussion. The article presents 24-year experience of surgical treatment of 150 patients with post-burn cicatricial strictures of the esophagus. The indications for various embodiments of reconstructive surgeries, such as: extirpation of esophagus and shunt intervention, have been considered. We have studied the main groups of postsurgical complications after the surgeries on the esophagus, divided into specific, bronchopulmonary, purulent inflammation, thromboembolic and bleeding. The frequency and causes of death after the reconstructive surgeries on the esophagus in patients with post-burn scarring stricture of the esophagus have been determined. Conclusion. The choice of surgical treatment of the post-burn cicatricial strictures of the esophagus has to be individual. The most serious postsurgical complications are specific and directly related to technique of intervention. The main causes of death are specific and bronchopulmonary complications.