[Quality of life after reconstructive procedures for esophageal strictures]. / Otsenka kachestva zhizni bol'nykh posle rekonstruktivnykh operatsii pri rubtsovykh suzheniyakh pishchevoda.

OBJECTIVE: To study the long-term results of reconstructive procedures for esophageal strictures and evaluate quality life after each type of esophageal repair using own criteria. MATERIAL AND METHODS: The study was conducted among patients who underwent esophageal repair with gastric transplant (172), colonic transplant (25), intestinal transplant (14) and repair of short cervical strictures (7). The age of patients ranged from 5 to 60 years. All patients underwent X-ray and endoscopic examination. Survey also included external respiration function and cardiac function, digestive function, measurement of height and weight, analysis of social aspects (work, study), female genital function. Five-score scale for quality of life assessment was developed. RESULTS: Long-term results were studied in 218 patients for the period from 3 months to 31 years (2002-2017). Excellent and good results were obtained in 180 patients. The best results were obtained after repair of short cervical strictures (4.42 scores), good results - after esophageal repair with gastric (4.14 scores) and intestinal (4.07 scores) transplants. Colonic repair was followed by satisfactory outcome (3.16 scores). CONCLUSION: Gastric and small bowel grafts are preferred for total esophageal repair due to better quality of life in long-term postoperative period.

[Clinicomorphological diagnosis and surgical treatment of complicated gastroesophageal reflux disease].

Biopsy and surgery specimens taken from 224 patients with gastroesophageal reflux disease were clinically and morphologically analyzed. The morphological diagnosis of this condition is of more informative value than endoscopy and X-ray study. Malignization occurs in 25% of patients with Barrett oesophagus. One case of surgical treatment for gastroesophageal reflux disease yielding a good outcome is described.

[Diagnosis and surgical treatment of reflux esophagitis]. / Diagnostika i khirurgicheskoe lechenie refliuks-ézofagita.

Operations were performed on 192 patients with reflux esophagitis, 23 of them had peptic stricture of the esophagus. Esophago-fundoplication was the main operation. Nissen's (106), Tupe (47), Belsi's (3), Dor's (5), and atypical methods were applied. Whenever indicated it was supplemented by crurorhaphy, SPV, pylorotomy, correction of the duodenal junction, etc. Resection of the esophagus (19) was performed with one-stage esophagoplasty by means of the stomach through a left thoracoabdominal approach (14), the whole stomach passed through the posterior mediastinum from an abdomino-cervical approach (2) and the whole stomach with Lewis' intrathoracic anastomosis (3). Distal gastric resection was carried out in 6 and other operations in 3 patients. The mortality was 1%. Reoperations were performed in 5 patients. The results were good in 81.2% of cases. The tactics is individualized according to the presence or absence of a stricture, its length, and localization of the upper border.

[Esophagoscopy under anesthesia with diffusion breathing]. / Podnarkozmaia ézofagoskopiia v usloviiakh diffuzionnogo

The authors have performed 180 esophagoscopies (in many cases repeatedly) under anesthesia in conditions of diffuse ventilation against the background of apnoe in patients with esophageal diseases, aged from 1 to 72 years. An analysis of ECG indicated no essential changes in the cardiac electric activity, that correlates well with the data of biochemical control, with the exception of persons with concomitant cardiac organic lesions in whom a decreased electric activity of the myocardium due to metabolic changes was noted.