[The use of percutaneous endoscopic gastrostomy for provision of the long-term enteral nutrition].

Percutaneous endoscopic gastrostomy for provision of the long-term enteral nutrition is well established in clinical practice because unlike from traditional gastrostomy and jejunostomy allowed to avoid many complications. The technique is used for enteral tube feeding in the absence of real positive predictive recovery of consciousness and swallowing function. During presented study from 387 patients with a gastrostomy imposed by percutaneous endoscopic technique, observed only 1,8% of suppurative complications and in 1% of cases - uncontrolled removal of the tube by the patient. Our experience allows us to recommend this technique for wide implementation in practice of medical institutions in case when it is necessity in enteral feeding more than 3 weeks of patients with impaired

[Minimally invasive method of treatment of severe organic dysphagia].

Dysphagia occurs in the clinical picture of stenosing esophageal diseases as a first symptom, but shows an extensive-stage disease. The aim of the study was to examine the experiences of esophageal stents incurable patients and the formulation of indications and contraindications to their use. The study was conducted on 68 patients treated at the Department of General Surgery of the Kirov Medical Academy during 2007-2011 for cancer of the esophagus and gastric cardia, and 2 patients with benign esophageal strictures. The success of self-expanding stents esophageal stenting was 100% (that is technically able to put a stent in all patients). Thus, the self-expanding esophageal stent wire stents--is the most effective method used to maintain patency of malignant esophageal narrowing in inoperable esophageal cancer patients in stage IV, and is the primary treatment of choice for patients with esophageal fistulas malignant.