[Esophagoplasty with the colon in flap patients with burn strictures of the esophagus].
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| Abstract |
Results of coloesophagoplasty in 366 patients with long burn strictures of the esophagus are presented. The lesion was total in 74 (21.2%) of them. Inefficacy of bougieurage was indication for plastic surgery in 133 (36.3%) patients, complete obliteration of esophagus--in 53 (14.5%). Left half of the colon was used in 296 (80.9%) cases, transverse colon--in 48 (13.1%), right half of the colon--in 22 (6.0%) cases. Retrosternal shunting esophagoplasty was performed in 247 (67.5%) patients. Complications were in 84 (34.0%), necrosis of the transplant--in 4 (1.6%) patients. Extirpation of the esophagus with posteriormediastinoplasty was performed in 16 (4.4%) patients, in 14 of them--transhiatally. Complications occurred in 7 patients coloesophagopharyngoplasty was carried out in 52 (14.2%) patients with combined stricture of the esophagus and the pharynx, in 23 of them--simultaneously. Complications were in 28 (53.8%) patients. Intrapleural of coloesophagoplasty was performed in 51 patients. General hospital lethality was 3.3%. Long-term results were studied in 259 patients. Good results of esophagoplasty were seen in 135 (52.1%) patients, satisfactory--in 65 (25.1%), unsatisfactory--in 59 (22.8%) patients. Dysfunction of the artificial esophagus was seen in 22.0% patients, 12.7% patients underwent repeated reconstructive surgeries.
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| Authors | A F Chernousov, V A Andrianov, A I Chernookov, F A Chernousov, A A Larionov |
| Journal | Khirurgiia (Khirurgiia (Mosk)) Issue 7 Pg. 50-4 ( 2003) ISSN: 0023-1207 [Print] Russia (Federation) |
| Vernacular Title | Plastika pishchevoda tolstoĭ kishkoĭ u bol'nykh s ozhogovymi strikturami pishchevoda. |
| PMID | 12926340 (Publication Type: Journal Article) |
| Topics |
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