56 -1 (87) 2026 - Nizamkhodjaev Z.M., Ligay R.E. - SURGICAL TREATMENT TACTICS IN THE EARLY POST-BURN PERIOD IN PATIENTS WITH COMBINED CICITAL

SURGICAL TREATMENT TACTICS IN THE EARLY POST-BURN PERIOD IN PATIENTS WITH COMBINED CICITAL STRICTURES OF THE PHARYNX, ESOPHAGUS, AND STOMACH WITH PREVAILABLE GASTRIC OBSTRUCTION

Nizamkhodjaev Z.M. - State Institution "Republican Specialized Scientific and Practical Medical Center of Surgery named after Academician V.Vakhidov"

Ligay R.E. - State Institution "Republican Specialized Scientific and Practical Medical Center of Surgery named after Academician V.Vakhidov"

Khadzhibaev Zh.A. - State Institution "Republican Specialized Scientific and Practical Medical Center of Surgery named after Academician V.Vakhidov"

Omonov R.R. - State Institution "Republican Specialized Scientific and Practical Medical Center of Surgery named after Academician V.Vakhidov"

Tsoi A.O. - State Institution "Republican Specialized Scientific and Practical Medical Center of Surgery named after Academician V.Vakhidov"

Abdukarimov A.D. - State Institution "Republican Specialized Scientific and Practical Medical Center of Surgery named after Academician V.Vakhidov"

Avalbaev Zh.M. - State Institution "Republican Specialized Scientific and Practical Medical Center of Surgery named after Academician V.Vakhidov"

Madrakhimov Sh.N. - State Institution "Republican Specialized Scientific and Practical Medical Center of Surgery named after Academician V.Vakhidov"

Iskandarov S.D. - State Institution "Republican Specialized Scientific and Practical Medical Center of Surgery named after Academician V.Vakhidov"

Resume

According to our data, in the early post-burn period, resections for cicatricial stenosis of the stomach to correct evacuation are not recommended for isolated post-burn esophageal strictures. This is because the cicatricial stricture has not yet fully formed, and mucosal edema persists, which can itself cause gastric outlet obstruction. Performing resections in the early post-burn period risks the formation of a cicatricial stricture of the anastomosis due to incomplete cicatricial healing. Therefore, in patients with combined cicatricial strictures with predominantly gastric obstruction symptoms, we recommend limiting the procedure to gastric drainage procedures in the early post-burn period.

Key words: tactics of surgical treatment in the early post-burn period, patients with combined cicatricial strictures of the pharynx, esophagus and stomach, clinical manifestations of gastric obstruction.

First page

329

Last page

334

For citation:Nizamkhodjaev Z.M., Ligay R.E., Khadzhibaev Zh.A., Omonov R.R., Tsoi A.O., Abdukarimov A.D., Avalbaev Zh.M., Madrakhimov Sh.N., Iskandarov S.D. - SURGICAL TREATMENT TACTICS IN THE EARLY POST-BURN PERIOD IN PATIENTS WITH COMBINED CICITAL STRICTURES OF THE PHARYNX, ESOPHAGUS, AND STOMACH WITH PREVAILABLE GASTRIC OBSTRUCTION//New Day in Medicine 1(87)2026 329-334 https://newdayworldmedicine.com/en/new_day_medicine/1-87-2026

List of References

  1. Батаев Х.М., Разумовский А.Ю., Харламов С.Ю. Лечение химических ожогов и рубцовых стенозов глотки у детей // Анналы хирургии. 1997;3:20-25.
  2. Зубарев П.Н., Трофимов В.М. Хирургические болезни пищевода и кардии. Руководство для врачей. СПб: СпецЛит; 2018; 303 стр.
  3. Кожевников М.А., Скворцов М.Б., Белобородов В.А. Оценка качества жизни больных после реконструктивных операций при рубцовых сужениях пищевода. // Хирургия. Журнал им. Н.И. Пирогова. 2020;4:18‑23,
  4. Лохматов М.М., Алхасов А.Б., Ратников С.А., Олдаковский В.И. и др. Диагностика и лечение доброкачественных стенозов пищевода у детей - Учебное пособие. - Москва: Деловая полиграфия, 2023; 64 стр.
  5. Луняка А.Н., Тараканов В.А., Старченко В.М., Надгериев В.М. Комплексное лечение химических ожогов пищевода у детей // Кубанский научный медицинский вестник. 2017;7:54-57.
  6. Черноусов А.Ф., Богопольский П.М., Курбанов Ф.С. Хирургия пищевода: руководство для врачей. М.: Медицина; 2020; 352 стр.
  7. Янгиев А.Х. Восстановительные операции при ожоговых поражениях пищевода и желудка, пути улучшения результатов лечения: автореф. ... докт.мед. наук.- Москва, 1989; 27 стр.
  8. AbouZeid AA, Zaki AM, Radwan AB, Allam AM. Colonic replacement of the esophagus: towards standardization of the technique. // J Pediatr Surg. 2020;55(6):1145-1151.
  9. Bisquera OC Jr, Perez AR, Espiritu NT, Guillermo MKB, Perez MEC. Long term outcome of a subcutaneous colonic interposition after pharyngo-laryngectomy for strictures of the larynx and hypopharynx resulting from caustic ingestion: A case report. // Int J Surg Case Rep. 2022;95:1721-1725.
  10. Chirica, M., Bonavina L., Kelly M.D., Sarfati E., Cattan P. Caustic ingestion // The Lancet. 2017;389(10083):2041-2052.
  11. Danardono E. Case Report: Post esophagectomy esophageal reconstruction in esophageal injury due to caustic materials. // Folia Medica Indonesiana 2017;53(4):287-292.
  12. Dall'Oglio L. et al. Endoscopic management of esophageal stenosis: New and traditional treatments // World journal of gastrointestinal endoscopy. 2016;8(4):212-219.
  13. Frazzoni L, La Marca M, Montale A, Fuccio L. Management of benign esophageal strictures: a literature review // Recenti Prog Med. 2018;109(1):46-49.
  14. Kim HJ., Jung S.O. Comparative evaluations of single-item pain-intensity measures in сапсег patients: Numeric rating scale vs. verbal rating scale // J. Clin. Nurs. 2020;29(15-16):2945-2952.
  15. Sasaki K, Tsuruda Y, Shimonosono M, Noda M. et al. Comparison of the subtotal and narrow gastric conduit for cervical esophagogastrostomy after esophagectomy in esophageal cancer patients: a propensity score-matched analysis. // Esophagus. 2024;21(1):41-50.

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