120 -4 (54) 2023 — Ismailov S.I., Ligay R.E. — PREDICTION OF THE DEVELOPMENT OF COMPLICATIONS WITH PERFORATIONS OF THE ESOPHAGUS

PREDICTION OF THE DEVELOPMENT OF COMPLICATIONS WITH PERFORATIONS OF THE ESOPHAGUS

Ismailov S.I., State Institution “Republican Specialized Scientific and Practical Medical Center for Surgery named after V. Vakhidov” Tashkent, Uzbekistan

Ligay R.E., State Institution “Republican Specialized Scientific and Practical Medical Center for Surgery named after V. Vakhidov” Tashkent, Uzbekistan

Tsoi A.O., State Institution “Republican Specialized Scientific and Practical Medical Center for Surgery named after V. Vakhidov” Tashkent, Uzbekistan

Babazhanov A.S., State Institution “Republican Specialized Scientific and Practical Medical Center for Surgery named after V. Vakhidov” Tashkent, Uzbekistan

Fayzullaev O.A., State Institution “Republican Specialized Scientific and Practical Medical Center for Surgery named after V. Vakhidov” Tashkent, Uzbekistan

Abdukarimov A.D. State Institution “Republican Specialized Scientific and Practical Medical Center for Surgery named after V. Vakhidov” Tashkent, Uzbekistan

Resume

The main factors of esophageal suture failure formation were etiological factor of esophageal perforations (p=0,031), duration of period between esophageal perforation and surgery (p=0,047), severity of general condition (p=0,016), and presence of purulent-infectious complications during hospitalization (0,002≤p ≤0,026). Duration of the period from the receipt of esophageal perforation to surgery (more than 24 hours increases the risk by 3,62 times, right-sided colitomy – by 3,72 times, perforation of the esophagus by foreign bodies – by 2,95 times, presence of mediastinitis on admission – by 4,18 times, localization of esophageal perforations in the lower thoracic region – by 2,68 times, hypotensive disease, diabetes mellitus, and CHD – almost twice. These risk factors must be taken into account when planning management tactics of patients with esophageal perforations.

Key words: esophageal perforations, risk factors

First page

644

Last page

652

For citation: Ismailov S.I., Ligay R.E., Tsoi A.O., Babazhanov A.S., Fayzullaev O.A., Abdukarimov A.D. – PREDICTION OF THE DEVELOPMENT OF COMPLICATIONS WITH PERFORATIONS OF THE ESOPHAGUS //New Day in Medicine 4(54)2023 644-652 https://newdaymedicine.com/index.php/2023/05/03/l-33/

LIST OF REFERENCES:

1. Бреднев А.О. Минимально инвазивные методы в комплексном лечении повреждений и свищей пищевода. / Дисс. канд. мед. наук. – СПб 2016; 217.
2. Королюк И.П. Медицинская информатика: Учебник. – 2 изд., перераб. и доп. Самара: ООО «Офорт» ГБОУ ВПО «СамГМУ». 2012; 244.
3. Реброва О.Ю. Статистический анализ медицинских данных. Применение пакета прикладных программ STATISTICA – М.: Медиа Сфера, 2006;3:312.
4. Шиган Е.Н. Методы прогнозирования и моделирования в социально-гигиенических исследованиях. — М., 1986;207.
5. Abbas G., Schuchert M.J., Pettiford B.L. Contemporaneous management of esophageal perforation // Surgery. 2019;146(4):749-756.
6. Baudet J.S. Spontaneous esophageal rupture (Boerhaave ’ s syndrome). An uncommon image // Rev. Esp. Enferm. Dig. 2021;103(9):482-493.
7. Berrisford R.G. Transgastric drainage of the esophagus: managing difficult oesophageal injuries. // Eur. J. Cardiothorac. Surg. 2018;33(4):742-744.
8. Kuppusamy M.K. Evolving management strategies in esophageal perforation: Surgeons using nonoperative techniques to improve outcomes // J. Am. Coll. Surg. 2021;213:164-171.
9. Rohatgi A. The role of oesophageal diversion and exclusion in the management of oesophageal perforations // Int J Surg. 2019;7(2):142-144.
10. Salminen, P. Use of self-expandable metal stents for the treatment of esophageal perforations and anastomotic leaks // Surg. Endosc. Other Interv. Tech. 2019;23(7):1526-1530.
11. Yufeng Deng, Luqi Hou, Dianyue Qin, Ting Huang, and Tianzhu Yuan. Current treatment and outcome of esophageal perforation // Medicine (Baltimore). 2021;23:100(16).