ENDOSCOPIC ULTRASOUND OF THE ARTIFICIAL ESOPHAGUS MADE UP OF GASTRIC TUBE
The purpose of the study was to determine the possibility of using endoscopic ultrasound examination in the assessment of the artificial esophagus, formed from a stomach tube. Endoscopic ultrasonography artificial esophagus and esophageal performed after 29 patients esophagogastroplasty. All patients underwent surgery for benign stenosing diseases of the esophagus: postburns cicatricial narrowing (6), peptic stricture of the esophagus (5), achalasia of the esophagus (18). In 13 observations of esophageal been formed with a circular cross-linking stapler, 16 used the standard method of formation. Depending on the characteristics of blood supply in the area of esophageal divided into 3 types: central, loose, and mixed. Evaluating the results of the study of artificial esophagus in patients after esophagogastroplasty found that the thickness of the wall in the area of esophageal, formed by a circular stapler is less than the standard method of its formation. Endoscopic ultrasound scan provides good visualization of the esophageal wall and the graft, to evaluate blood flow velocity in the zone of the anastomosis, three main types of blood supply in the area of the anastomosis, which may be an important prognostic criterion of its stenosis in the postoperative period.