SURGICAL TREATMENT OF BENING ESOPHAGEAL STRICTURES AFTER CORROSIVE INJURIES.

Area of Science:

• Gastroenterology
• Surgical Oncology
• Digestive System Surgery

Background:

• Corrosive injuries frequently cause extended benign esophageal strictures.
• Surgical intervention is often necessary for managing these complex cases.
• Traditional surgical methods have limitations in treating extensive strictures.

Purpose of the Study:

• To evaluate a novel one-step transhiatal esophagogastroplasty technique.
• To compare the outcomes of the new technique with classical surgical methods.
• To determine the optimal surgical approach for different severities of benign esophageal strictures.

Main Methods:

• Retrospective analysis of 156 patients treated between 2000 and 2016.
• Surgical treatment using a developed one-step transhiatal esophagogastroplasty (main group).
• Classical surgical methods were used in the comparison group.

Main Results:

• The developed one-step transhiatal esophagogastroplasty is a viable option for compensated/subcompensated patients.
• Two-step surgical treatment, including initial gastrostomy, is crucial for patients with severe damage and nutritional deficits.
• The two-step approach significantly improves treatment outcomes and patient quality of life.

Conclusions:

• One-step transhiatal esophagogastroplasty is a preferred method for specific patient groups with benign esophageal strictures.
• A staged surgical approach is essential for optimizing results in complex corrosive esophageal injuries.
• Effective preoperative assessment guides the choice between one-step and two-step surgical interventions.