Journal of Biomedicine and Practice – Biomeditsina va amaliyot jurnali 10-том 5-нөмір (2025)
ENDOSCOPIC BALLOON DILATION OF ANASTOMOTIC STRICTURES AFTER SURGICAL REPAIR OF ESOPHAGEAL ATRESIA
ЭШКАБИЛОВ Шукурали Давлатмуратович, ИХТИЁРОВ Талъат Вахобович
Аңдатпа
Postoperative esophageal strictures (ES) after repair of esophageal atresia are not a rare occurrence and represent a serious problem in terms of further treatment [9;3;8]. It develops in 9–79% of newborns after repair of esophageal atresia [1;5;7]. In recent years, endoscopic interventions for esophageal anastomotic strictures have been gaining increasing recognition and are considered as an alternative to repeat surgical procedures [2;4;6;8]. Objective: to analyze the results of treatment of postoperative cicatricial stenosis of the esophagus in children operated for esophageal atresia. Materials and methods. In the Republican Educational, Therapeutic and Methodological Center for Neonatal Surgery at the Republican perinatal center (RPC) in the period from 2022 to 2023, 73 patients with cicatricial narrowing of the esophagus after esophagoplasty for its atresia were treated. There were 45 boys (62%) and 28 girls (38%). The age of the patients ranged from 1 to 11 months. Results. As a result of treatment, in all patients with esophageal anastomosis stricture after esophagoplasty for esophageal atresia, the diameter of the anastomosis reached 10-11 mm, which corresponded to the normal lumen of the esophagus during infancy. After the first session, the volume of feeding increased 2-3 times and by the end of treatment corresponded to the physiological need. Currently, some children are observed on an outpatient basis with a control X-ray 1-2 times a year. Only one patient underwent repeated esophagoplasty due to a recurrence of esophageal stenosis. Conclusions: We consider it advisable to perform fibroesophagoscopy in newborns who underwent esophagoplasty immediately after birth due to esophageal atresia at the time of the 1st month for early detection and timely initiation of treatment of complications.
атрезия пищевода, рубцовые стриктуры анастомоза, эндоскопическое лечениеesophageal atresia, anastomotic strictures, endoscopic balloon dilatationqiziloʼngach atreziyasi, anastomoz torayishi, endoskopik davolash
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