[Reconstructive operations in combined burn strictures of the esophagus and stomach]

Variants of surgical repair for patency of the esophagogastroduodenal tract, used in the treatment of 64 patients with combined burn strictures of the stomach and esophagus are presented. The scope of reconstructive operations depended on the patientsT baseline status, the severity of concomitant diseases, the pattern of anatomical disorders of burned organs. In short distal burn strictures of the esophagus and stomach, esophagogastrostomy and gastroduodenostomy were performed (2). If the burn stricture was in the pyloric area, pyloroplasty was performed (9). In patients with antral and pyloric stenoses, gastroduodenal anastomosis was formed (3). If burn damage to the stomach could not be clearly differentiated, gastroenterostomy was made. If there were scars in the stomach, it was respected by one of BillrotTs methods (30). Only in 8 of the 64 patients reconstructive operation on the stomach could be combined with esophagoplasty and in 4 cases stepwise esophagoplasty was performed by transpositing a small intestinal graft to the neck. Esophagoplasty was made with a fragment of the ileocolon in 32 patients, with that of the left half of the colon in 23, one and 6 patients underwent intrapleural and small intestinal esophagoplasty, respectively. Esophagoplasty with local tissues was performed in 2 patients. Postoperative mortality was 6.25%.