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Vestn Ross Akad Med Nauk ; (5): 20-4, 2005.
Article in Russian | MEDLINE | ID: mdl-15960199

ABSTRACT

The subjects of the study were 221 patients with cicatrical esophageal strictures. 62 (28.5%) patients had peptic strictures, and 159 (71.9%)--post-burn strictures. 67 (30.3%) patients underwent esophageal resection with one-stage intrapleural esophagoplasty with the stomach, 152 (68.8%) patients--gullet bougienage in combination with surgical intervention or as an only treatment. The study revealed 8 cases of squamous cell carcinoma in patients with post-burn strictures, and 3 cases of squamous cell carcinoma in patients with peptic strictures. In 2 cases the researchers found early stage of esophageal cancer (verrucose carcinoma)--in 1 patient with post-burn stricture and 1 patient with peptic stricture. The results suggest an important role of chronic gastroesophageal reflux in the oncogenesis of esophageal squamous cell carcinoma in patients with post-burn and peptic strictures.


Subject(s)
Burns, Chemical/complications , Esophageal Neoplasms/etiology , Esophageal Stenosis/complications , Esophagitis, Peptic/complications , Esophagus/injuries , Gastroesophageal Reflux/complications , Adult , Biopsy , Burns, Chemical/pathology , Carcinoma, Verrucous/etiology , Carcinoma, Verrucous/pathology , Chronic Disease , Cicatrix , Disease Progression , Esophageal Neoplasms/pathology , Esophageal Stenosis/pathology , Esophagitis, Peptic/pathology , Female , Gastroesophageal Reflux/pathology , Humans , Male , Retrospective Studies
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