POST-BURN SCAR STRICTURE OF THE ESOPHAGUS: PREVENTION OF THEIR FORMATION, TREATMENT STRATEGY

Klimashevich Alexander Vladimirovich, Candidate of medical sciences, associate professor, sub-department of surgery, Medical Institute, Penza State University, Klimashevich78@mail.ru
Nikolskiy Valery Isaakovich, Doctor of medical sciences, professor, sub-department of surgery, Medical Institute, Penza State University, pmisurg@gmail.com
Bogonina Olga Vladimirovna, Resident, sub-departmnet of surgery, Medical Institute, Penza State University, olg-A-bog@yandex.ru

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During the period from 2005 to 2010 there were 261 patients treated in Penza Regional Hospital. The researchers used a technique of the most conservative treatment. The method of temporary stenting of the esophagus by nitinol stents was performed in 16 patients with constantly recurrent stricture. Sustained remission was achieved in 75 % patients after stenting. The authors created a neural network of the outcome prediction of the esophagus burn disease. The method of stenting an esopha-gus by biodegradable collagen stents was performed in 5 patients on the 30–40 day after a burn of an esophagus for the purpose of prevention and early treatment. Dur-ing the period of 6–8 months restenosis was not observed in 5 patients (100 %).

esophagus, stricture, stent.