EXPERIENCE IN THE PREVENTION AND TREATMENT OF POSTBURNS CICATRICIAL STRICTURES OF THE ESOPHAGUS BY STENTING
One of a frequent pathology of the esophagus are cicatricial strictures. The problem of choice of tactics and a method of treating of cicatricial strictures of the esophagus remains relevant. During the period from 2005 to 2010 in Penza Regional Hospital was treated 261 patients. Constantly recurrent stricture of the esophagus was observed in 23 patients, in connection with it the method of temporary stenting with nitinol stents was performed in 16 patients. We believe that the principle should be used for this manipulation only fully coated, whole braided design with mandatory external fixation. The term exposure of stent is not more than 2 months, or if it is required to extract. Sustained remission was achieved in 12 (75%) patients after stenting. The main method of prevention and early treatment of cicatricial postburn strictures is timely dila-tion of the esophagus. We believe that it is necessary should be used for this manipulation biodegradable collagen stents on the 30 - 40 day after the burn of the esophagus. This method was used in 5 patients. During the period from 6 - 8 months restenosis was not observed in 5 patients (100%). The main problem of stenting of postburn cicatricial strictures is the migra-tion of the stent in the distal parts of the digestive tract. The use of visual fixation of the stent to the patients ear to the cord, derived through the nasal hwang, allows you to control the phenomenon of migration, thus reducing the risk of complications and unforeseen negative consequences.