International Medical Journal, Vol. 23., Iss. 2, 2017, P. 32−36.
NECK GASTROSTOMY AT ESOPHAGOGASTROPLASTY
Kharkiv National Medical University, Ukraine
Formation of esophageal anastomosis at esophagogastroplasty is associated with a high incidence of complications. The main cause of mortality after esophagogastroplasty is the failure of esophageal anastomosis. The results of surgical treatment of patients with scar strictures of the esophagus after the burns were investigated with the purpose to improve the results of esophagogastroplasty by prevention of postoperative complications. The method of surgery included extirpation of the esophagus with simultaneous transhiatal esophagogastroplasty with formation of a single esophagogastroanastomosis and contact gastrostomy on the left side of the neck. Intraoperatively nasogastric tube was applied in patients with partial failure of the formed esophagogastroanastomosis as a postoperative complication was not removed and it was used for enteral feeding and limited the zone of the anastomotic failure until its closure. The developed method of one−step transhiatal esophagogastroplasty with single esophagogastroanastomosis and contact gastrostomy on the left side of the neck in patients with extended postburn esophageal stricture in the state of compensation and subcompensation can be considered as the treatment of choice.
Key words: esophagogastroplasty, neck gastrostomy, transhiatal approach.