Extirpation of Esophagus after Stenting

  • Authors: 1, 2, 2, 3
  • Affiliations:
    1. Novosibirsk State Medical University, 52 Krasnyi Prospekt Str., Novosibirsk, 630091, Russian Federation Novosibirsk State Regional Hospital, 130 Nemirovicha-Danchenko Str., Novosibirsk, 630087, Russian Federation
    2. Novosibirsk State Medical University, 52 Krasnyi Prospekt Str., Novosibirsk, 630091, Russian Federation1 Novosibirsk State Regional Hospital, 130 Nemirovicha-Danchenko Str., Novosibirsk, 630087, Russian Federation
    3. Novosibirsk State Medical University, 52 Krasnyi Prospekt Str., Novosibirsk, 630091, Russian Federation
  • Issue: Vol 8, No 1 (2015)
  • Pages: 87-91
  • Section: Original articles
  • URL: https://vestnik-surgery.com/journal/article/view/173
  • DOI: https://doi.org/10.18499/2070-478X-2015-8-1-87-91
  • ID: 173

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Abstract

Relevance The use of stents in benign diseases of the esophagus gets wide distribution. However, the opinions of the authors based on the results of their application is different. The purpose of the study On the basis of a clinical example to demonstrate the possibility of developing severe complications in long-term presence of the stent in the esophagus. Materials and methods As an example, here the clinical situation: a patient 55 years old, is being treated in hospital after installing self-expanding metal stent with Boerhaven syndrome complicated by pleural empyema left. 6 months after stent placement complained of difficulty in swallowing solid, liquid and semi-liquid food. Examination revealed narrowing of the esophagus to upper edge of the stent, phenomenon of nutritional deficiency. Results and their discussion Delete stent failed. To ensure the supply and preoperative performed probing the narrowed portion of the esophagus with the installation of a probe for food in the stomach. After preoperative preparation underwent extirpation of the esophagus with esophagogastroplasty. The postoperative period was uneventful. In a study of 2 months after surgery no complaints, food through mouth restored. Conclusion In patients with benign esophageal diseases self-expanding nitinol undesirable use of stents in view of the above complications. When attempting to use this category of stents in patients with benign diseases of the esophagus, you must monitor the patient in the dynamics of the evaluation and its standing stent patency. Key words Stenting of esophagus, self-expanding metal stents, extirpation of esophagus, esophageal stenting complications

About the authors

Novosibirsk State Medical University, 52 Krasnyi Prospekt Str., Novosibirsk, 630091, Russian Federation
Novosibirsk State Regional Hospital, 130 Nemirovicha-Danchenko Str., Novosibirsk, 630087, Russian Federation

Author for correspondence.
Email: chikinev@inbox.ru
MD, Prof., head of department of hospital and child surgery Novosibirsk State medical university. Thoracic surgeon, of department of Thoracic surgery Novosibirsk regional clinical hospital

Novosibirsk State Medical University, 52 Krasnyi Prospekt Str., Novosibirsk, 630091, Russian Federation1
Novosibirsk State Regional Hospital, 130 Nemirovicha-Danchenko Str., Novosibirsk, 630087, Russian Federation

Email: evgenyidrob@inbox.ru
MD, associate prof. of department of hospital and child surgery Novosibirsk State medical university. Thoracic surgeon, endoscopist of department of Thoracic surgery Novosibirsk regional clinical hospital

Novosibirsk State Medical University, 52 Krasnyi Prospekt Str., Novosibirsk, 630091, Russian Federation1
Novosibirsk State Regional Hospital, 130 Nemirovicha-Danchenko Str., Novosibirsk, 630087, Russian Federation

Email: ness-24@yandex.ru
assistant of department of anesthesiology and critical care Novosibirsk State medical university, anesthesioligist of department of anesthesiology and critical care Novosibirsk regional clinical hospital

Novosibirsk State Medical University, 52 Krasnyi Prospekt Str., Novosibirsk, 630091, Russian Federation

Email: author@vestnik-surgery.com
MD, Prof., head of department of anesthesiology and critical care Novosibirsk State medical university

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