Esophagoplasty in scarry strictures. Anatomic-surgical and functional grounding
1629 patients with scarry strictures were treated. Th e main method of treatment was gullet bougienagе, it was eff ective in 62%. Th e authors studied immediate and long-term eff ects of esophagoplasty by a stomach and its fragments, by small and large intestine and eff ects of local plasty which was performed in 622 patients with benign esophageal constrictions. As it is shown in this study it is possible to treat stenoses by various types of plasty correspondingly to the length and localization of a stricture. Th e authors consider preferable to use posteromediastinal esophagoplasty by the whole stomach with anastomosis on the neck and local types of plasty at short strictures of cervical, mediathoracic and distal part of esophagus which were performed in 390 patients with general lethality 3.1%. Reduction of lethality on 1-2% is possible. In some exceptional cases great plastic features of plasty with small intestine may be used. Resection of cicatricial natural esophagus is advisable. Much higher level of life quality of patients with esophagus formed out of a stomach, small intestine and aft er local plasty.