[Prevention of post-burn scarring esophageal strictures, strategies of surgical treatment]. / Preduprezhdenie obrazovaniia posleozhogovoi rubtsovoi striktury pishchevoda, taktika khirurgicheskogo lecheniia.

Experience of treatment of 52 patients with oesophageal chemical burn in acute and early postburn period was analyzed, as well as in 649--with oesophageal postburn cicatricial stricture (OPCS). In 18 patients perforation of esophagus had occurred during performance of bougienage. Rational complex of diagnostic and therapeutic measures in such patients was determined. The results of bougienage in patients with OPCS were summarized. Causes of the oesophageal perforation occurrence during bougienage were analyzed. Tactics of surgical treatment of esophageal perforation was determined. Analysis of the treatment results and of the main causes, which conditioned upon the postoperative complications occurrence, was conducted.

[Esophageal injuries: diagnosis and treatment]. / Povrezhdeniia pishchevoda: diagnostika i taktika lecheniia.

The authors describe their experiences with treatment of 63 patients with penetrating damages of the esophagus. Suturing the esophagus wall with drainage of the zone of the injury and mediastinum was performed on 35 patients admitted to the hospital during the first day after injury. The rest of the patients underwent drainage of the injury zone, followed by gastrostomy and application of the nasogastral tube. Lethality was 29.6% and depended on the type of trauma, terms of the beginning of skilled medical treatment and the degree of the developed purulent complications.