Khirurgiia · 2026
[Surgical treatment for corrosive esophageal strictures (in memory of Academician A.F. Chernousov)].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Vetshev F P, Petukhova N V, Khorobrykh T V, Osminin S V, Russkova K S, Pavlova E A, Bilyalov I R
Аннотация
OBJECTIVE: To analyze own clinical experience in surgical treatment of corrosive esophageal strictures.
MATERIAL AND METHODS: We analyzed treatment outcomes in 91 patients with corrosive esophageal strictures, who underwent treatment between 2007 and 2025. The study included patients older 18 years with chemical, thermal or radiation-induced burns. Patients were divided into two groups: the first group - 43 patients with short strictures (≤3 cm); the second group - 48 patients with long strictures (>3 cm). Mean age of patients was 44±16.3 years, male-to-female ratio - 48% and 52%, respectively. Period between burn injury and surgical care differed between groups. This value was more than 6 months in 68.8% of patients in the second group.
RESULTS: Organ-sparing methods (bougienage, balloon dilation) showed high effectiveness in 82% of patients with short strictures of acid etiology and in 64% of those with strictures after alkali ingestion. In 5 (11.6%) out of 43 patients in the first group, organ-sparing treatment was ineffective, and they underwent reconstructive surgery. In the group with long strictures, 52% of patients required radical surgery due to low effectiveness of bougienage and balloon dilation, especially in case of alkali burn. Postoperative complications were observed in 2 out of 5 cases in the first group and in 8 out of 26 patients in the second group without significant differences between etiological groups.
CONCLUSION: Our data emphasize the role of individual approach and early patient referral to improve treatment outcomes for corrosive esophageal strictures.
MATERIAL AND METHODS: We analyzed treatment outcomes in 91 patients with corrosive esophageal strictures, who underwent treatment between 2007 and 2025. The study included patients older 18 years with chemical, thermal or radiation-induced burns. Patients were divided into two groups: the first group - 43 patients with short strictures (≤3 cm); the second group - 48 patients with long strictures (>3 cm). Mean age of patients was 44±16.3 years, male-to-female ratio - 48% and 52%, respectively. Period between burn injury and surgical care differed between groups. This value was more than 6 months in 68.8% of patients in the second group.
RESULTS: Organ-sparing methods (bougienage, balloon dilation) showed high effectiveness in 82% of patients with short strictures of acid etiology and in 64% of those with strictures after alkali ingestion. In 5 (11.6%) out of 43 patients in the first group, organ-sparing treatment was ineffective, and they underwent reconstructive surgery. In the group with long strictures, 52% of patients required radical surgery due to low effectiveness of bougienage and balloon dilation, especially in case of alkali burn. Postoperative complications were observed in 2 out of 5 cases in the first group and in 8 out of 26 patients in the second group without significant differences between etiological groups.
CONCLUSION: Our data emphasize the role of individual approach and early patient referral to improve treatment outcomes for corrosive esophageal strictures.