<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">grekov</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник хирургии имени И.И. Грекова</journal-title><trans-title-group xml:lang="en"><trans-title>Grekov's Bulletin of Surgery</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0042-4625</issn><issn pub-type="epub">2686-7370</issn><publisher><publisher-name>Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24884/0042-4625-2013-172-5-111-114</article-id><article-id custom-type="elpub" pub-id-type="custom">grekov-668</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>В ПОМОЩЬ ПРАКТИЧЕСКОМУ ВРАЧУ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ADVICE TO PRACTICAL DOCTOR</subject></subj-group></article-categories><title-group><article-title>ЛЕЧЕНИЕ ДОБРОКАЧЕСТВЕННЫХ СТРИКТУР ПИЩЕВОДА</article-title><trans-title-group xml:lang="en"><trans-title>TREATMENT OF BENIGN ESOPHAGEAL STRICTURE</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Белевич</surname><given-names>Валерий Леонтьевич</given-names></name><name name-style="western" xml:lang="en"><surname>Belevich</surname><given-names>V. L.</given-names></name></name-alternatives><email xlink:type="simple">val-belevich@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Овчинников</surname><given-names>Дмитрий Валерьевич</given-names></name><name name-style="western" xml:lang="en"><surname>Ovchinnnikov</surname><given-names>D. V.</given-names></name></name-alternatives><email xlink:type="simple">dv.ovchinnikov-vma@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Военно-медицинская академия им. С. М. Кирова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kirov Military Medical Academy</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub"><day>15</day><month>01</month><year>2018</year></pub-date><volume>172</volume><issue>5</issue><fpage>111</fpage><lpage>114</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Белевич В.Л., Овчинников Д.В., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Белевич В.Л., Овчинников Д.В.</copyright-holder><copyright-holder xml:lang="en">Belevich V.L., Ovchinnnikov D.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.vestnik-grekova.ru/jour/article/view/668">https://www.vestnik-grekova.ru/jour/article/view/668</self-uri><trans-abstract xml:lang="en"><p>The article presents an analysis of long-term experience of treatment of 128 patients with benign esophagus and esophageal anastomosis strictures in Kirov Military Medical Academy. This significant data included all possible variations of scarry esophageal strictures according their etiology, localization and the extension. The wide range of methods, which involved the different variants of bouginage, balloon dilation, stenting, electrosurgical dissection and resection of the stomach, were applied in treatment of the patients. The analysis of immediate and long-term results allowed detecting the criteria of choice and indication for use of the methods or their combination. Practical recommendations reflect the strategy of each variant of treatment and have the specific character. Possible complications and negative results of irrational application of different methods were presented. The immediate and long-term results gave evidence of the successful treatment of the patients with scarry esophagus and esophageal anastomosis strictures.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>пищевод</kwd><kwd>стриктура</kwd><kwd>стеноз анастомоза</kwd><kwd>лечение</kwd><kwd>esophagus</kwd><kwd>stricture</kwd><kwd>anastomosis</kwd><kwd>treatment</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Аллахвердян А. С., Мазурин В. С., Казанцева И. А. Некоторые клиническиеи морфологические особенности развития плоскоклеточного рака на фоне послеожоговыхи пептических стриктур пищевода // Вестн. онкол. науч. центра РАМН. 2004. № 3. С. 20–24.</mixed-citation><mixed-citation xml:lang="en">Аллахвердян А. С., Мазурин В. С., Казанцева И. А. Некоторые клиническиеи морфологические особенности развития плоскоклеточного рака на фоне послеожоговыхи пептических стриктур пищевода // Вестн. онкол. науч. центра РАМН. 2004. № 3. С. 20–24.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Дробязгин Е. А., Чикинев Ю. В., Кутепов А. В.и др. Эндоскопическое лечение стриктур пищеводных анастомозов после эзофагопластики // Сибирск. мед. журн. 2009. № 3. С. 64–67.</mixed-citation><mixed-citation xml:lang="en">Дробязгин Е. А., Чикинев Ю. В., Кутепов А. В.и др. Эндоскопическое лечение стриктур пищеводных анастомозов после эзофагопластики // Сибирск. мед. журн. 2009. № 3. С. 64–67.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Федотов Л. Е. Пути улучшения результатов лечения стенозирующих доброкачественных заболеваний пищевода: Дис. … д-ра мед. наук. СПб., 2008.</mixed-citation><mixed-citation xml:lang="en">Федотов Л. Е. Пути улучшения результатов лечения стенозирующих доброкачественных заболеваний пищевода: Дис. … д-ра мед. наук. СПб., 2008.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Чепик Д. А. Современные направления пластики пищеводау больныхс послеожоговыми рубцовыми стриктурами пищевода // Новости хирургии. 2009. № 3. С. 154–167.</mixed-citation><mixed-citation xml:lang="en">Чепик Д. А. Современные направления пластики пищеводау больныхс послеожоговыми рубцовыми стриктурами пищевода // Новости хирургии. 2009. № 3. С. 154–167.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Чикинев Ю. В., Дробязгин Е. А., Кутепов А. В., Беркасова И. В. Эзофагопластикау больныхс ожоговыми стриктурами пищевода // Вестн. экспер.и клин. хир. 2011. № 1. С. 57–62.</mixed-citation><mixed-citation xml:lang="en">Чикинев Ю. В., Дробязгин Е. А., Кутепов А. В., Беркасова И. В. Эзофагопластикау больныхс ожоговыми стриктурами пищевода // Вестн. экспер.и клин. хир. 2011. № 1. С. 57–62.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Andreollo N. A., Lopes L. R., Inogutti R. et al. Tratamento conservador das estenoses benignas do esôfago através de dilatações. Análise de 500 casos // Rev. assoc. med. bras. 2001. Vol. 47, № 3. P. 236–243.</mixed-citation><mixed-citation xml:lang="en">Andreollo N. A., Lopes L. R., Inogutti R. et al. Tratamento conservador das estenoses benignas do esôfago através de dilatações. Análise de 500 casos // Rev. assoc. med. bras. 2001. Vol. 47, № 3. P. 236–243.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Aydin A., Aktas S., Hafiz G. et al. The negative effect of hyperbaric oxygen therapy at the acute phase of electrochemical esophageal burn induced by button battery ingestion // Int. j. pediatr. otorhinolaryngol. 2004. Vol. 68, № 7. S. 947–953.</mixed-citation><mixed-citation xml:lang="en">Aydin A., Aktas S., Hafiz G. et al. The negative effect of hyperbaric oxygen therapy at the acute phase of electrochemical esophageal burn induced by button battery ingestion // Int. j. pediatr. otorhinolaryngol. 2004. Vol. 68, № 7. S. 947–953.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Boeckxstaens G. E., Annese V., des Varannes S. B. et al. Pneumatic dilation versus laparoscopic Heller’s myotomy for idiopathic achalasia // N. Engl. J. Med. 2011. Vol. 364, № 19. P. 1807–1816.</mixed-citation><mixed-citation xml:lang="en">Boeckxstaens G. E., Annese V., des Varannes S. B. et al. Pneumatic dilation versus laparoscopic Heller’s myotomy for idiopathic achalasia // N. Engl. J. Med. 2011. Vol. 364, № 19. P. 1807–1816.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Eyer F., Zilker T. Verletzungen der Augen, Haut und Magen-Darmtrakt // Ther. Umsch. 2009. Jg. 66. № 5. S. 379–386.</mixed-citation><mixed-citation xml:lang="en">Eyer F., Zilker T. Verletzungen der Augen, Haut und Magen-Darmtrakt // Ther. Umsch. 2009. Jg. 66. № 5. S. 379–386.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Kabbaj N., Salihoun M., Chaoui Z. et al. Safety and outcome using endoscopic dilatation for benign esophageal stricture without fluoroscopy // World J. Gastrointest. Pharmacol. Ther. 2011. Vol. 2, № 6. 46–49.</mixed-citation><mixed-citation xml:lang="en">Kabbaj N., Salihoun M., Chaoui Z. et al. Safety and outcome using endoscopic dilatation for benign esophageal stricture without fluoroscopy // World J. Gastrointest. Pharmacol. Ther. 2011. Vol. 2, № 6. 46–49.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Kim J. H., Shin J. H., Song H. Y. Benign strictures of the esophagus and gastric outlet: interventional management // Korean. J. Radiol. 2010. Vol, 11. № 5. P. 497–506.</mixed-citation><mixed-citation xml:lang="en">Kim J. H., Shin J. H., Song H. Y. Benign strictures of the esophagus and gastric outlet: interventional management // Korean. J. Radiol. 2010. Vol, 11. № 5. P. 497–506.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Kiyan G., Aktas S., Ozel K. et al. Effects of hyperbaric oxygen therapy on caustic esophageal injury in rats // J. Pediatr. Surg. 2004. Vol. 39, № 8. P. 1188–1193.</mixed-citation><mixed-citation xml:lang="en">Kiyan G., Aktas S., Ozel K. et al. Effects of hyperbaric oxygen therapy on caustic esophageal injury in rats // J. Pediatr. Surg. 2004. Vol. 39, № 8. P. 1188–1193.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Kochhar R., Poornachandra K. S. Intralesional steroid injection therapy in the management of resistant gastrointestinal strictures // World J. Gastrointest. Endosc. 2010. Vol. 2, № 2. P. 61–68.</mixed-citation><mixed-citation xml:lang="en">Kochhar R., Poornachandra K. S. Intralesional steroid injection therapy in the management of resistant gastrointestinal strictures // World J. Gastrointest. Endosc. 2010. Vol. 2, № 2. P. 61–68.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Luedtke P., Levine M. S., Rubesin S. E. et al. Radiologic diagnosis of benign esophageal strictures:a pattern approach // Radio-graphics. 2003. Vol. 23, № 4. P. 897–909.</mixed-citation><mixed-citation xml:lang="en">Luedtke P., Levine M. S., Rubesin S. E. et al. Radiologic diagnosis of benign esophageal strictures:a pattern approach // Radio-graphics. 2003. Vol. 23, № 4. P. 897–909.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Novais P., Lemme E., Equi C. et al. Estenoses benignas de esôfago: abordagem endoscópica com velas de Savary-Gilliard // Arq. Gastroenterol. 2008. Vol. 45, № 4. P. 290–294.</mixed-citation><mixed-citation xml:lang="en">Novais P., Lemme E., Equi C. et al. Estenoses benignas de esôfago: abordagem endoscópica com velas de Savary-Gilliard // Arq. Gastroenterol. 2008. Vol. 45, № 4. P. 290–294.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Pazdro A., Harustiak T., Snajdauf M. et al. Perforace jícnu // Rozhl. Chir. 2011. Roč. 90 Č. 11. S. 647–652.</mixed-citation><mixed-citation xml:lang="en">Pazdro A., Harustiak T., Snajdauf M. et al. Perforace jícnu // Rozhl. Chir. 2011. Roč. 90 Č. 11. S. 647–652.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Piotet E., Escher A., Monnier P. Esophageal and pharyngeal strictures: report on 1.862 endoscopic dilatations using the Savary-Gilliard technique // Eur. Arch. Otorhinolaryngol. 2008. Vol. 265, № 3. P. 357–364.</mixed-citation><mixed-citation xml:lang="en">Piotet E., Escher A., Monnier P. Esophageal and pharyngeal strictures: report on 1.862 endoscopic dilatations using the Savary-Gilliard technique // Eur. Arch. Otorhinolaryngol. 2008. Vol. 265, № 3. P. 357–364.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Rees C. J., Fordham T., Belafsky P. C. Transnasal balloon dilation of the esophagus // Arch. Otolaryngol. Head. Neck. Surg. 2009. Vol. 135, № 8. P. 781–783.</mixed-citation><mixed-citation xml:lang="en">Rees C. J., Fordham T., Belafsky P. C. Transnasal balloon dilation of the esophagus // Arch. Otolaryngol. Head. Neck. Surg. 2009. Vol. 135, № 8. P. 781–783.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Repici A., Hassan C., Sharma P. et al. Systematic review: the role of self-expanding plastic stents for benign oesophageal strictures // Aliment. Pharmacol. Ther. 2010. Vol. 31, № 12. P. 1268–1275.</mixed-citation><mixed-citation xml:lang="en">Repici A., Hassan C., Sharma P. et al. Systematic review: the role of self-expanding plastic stents for benign oesophageal strictures // Aliment. Pharmacol. Ther. 2010. Vol. 31, № 12. P. 1268–1275.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Siersema P. D. Treatment options for esophageal strictures // Nat. Clin. Pract. Gastroenterol. Hepatol. 2008. Vol. 5, № 3. P. 142–152.</mixed-citation><mixed-citation xml:lang="en">Siersema P. D. Treatment options for esophageal strictures // Nat. Clin. Pract. Gastroenterol. Hepatol. 2008. Vol. 5, № 3. P. 142–152.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Therasse E., Oliva V. L., Lafontaine E. et al. Balloon dilation and stent placement for esophageal lesions: indications, methods, and results // Radiographics. 2003. Vol. 23, № 1. P. 89–105.</mixed-citation><mixed-citation xml:lang="en">Therasse E., Oliva V. L., Lafontaine E. et al. Balloon dilation and stent placement for esophageal lesions: indications, methods, and results // Radiographics. 2003. Vol. 23, № 1. P. 89–105.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
