RESUMO
The experience of plasty of the pharynx and esophagus with graft of the free small intestine segment was presented in 12 children after burn stricture by the potassium permanganate. The technical aspects of operation using methods of the reconstructive vascular surgery were described. Good short-term result was obtained in all the patients. The long-term results were investigated during 15 years. It was observed, that the graft diverticulum developed by 4-7 years in 3 patients, whom repeated operation should be performed. According to the authors, the regional plasty of the esophagus by free revasculizated small intestine graft was really effective surgical supply and could be considered as the method of choice in limited scarry lesions of the pharynx and cervical esophagus, but the method should be improved.
Assuntos
Constrição Patológica/cirurgia , Esofagoplastia , Esôfago/cirurgia , Hipofaringe/cirurgia , Intestino Delgado/transplante , Traqueia/cirurgia , Queimaduras Químicas/complicações , Criança , Pesquisa Comparativa da Efetividade , Constrição Patológica/diagnóstico por imagem , Constrição Patológica/etiologia , Constrição Patológica/fisiopatologia , Estenose Esofágica/diagnóstico por imagem , Estenose Esofágica/etiologia , Estenose Esofágica/fisiopatologia , Estenose Esofágica/cirurgia , Esofagoplastia/métodos , Esofagoplastia/estatística & dados numéricos , Esôfago/lesões , Esôfago/fisiopatologia , Feminino , Seguimentos , Humanos , Hipofaringe/lesões , Hipofaringe/fisiopatologia , Masculino , Radiografia , Procedimentos de Cirurgia Plástica , Traqueia/lesões , Traqueia/fisiopatologia , Resultado do Tratamento , Alotransplante de Tecidos Compostos Vascularizados/métodos , Alotransplante de Tecidos Compostos Vascularizados/estatística & dados numéricosRESUMO
The article presents the authors' experiences with reconstructive-plastic operations of the esophagus in children. The esophagoplasty was performed in 60 patients with congenital and acquired diseases. Among the congenital diseases are esophageal atresia, short esophagus and Barrett's esophagus, the acquired diseases include postburn scarry injuries. The optimum method of creation of the artificial esophagus are described. Of great significance are thought to be angiosurgical and microsurgical methods of cutting out the intestinal transplants. Cases of free autotransplantation of the intestinal segments for the substitution of the injured esophagus are described. Positive results were obtained in most cases.