Subtotal resection of the esophagus with simultaneous plastic surgery of the gastric stem, small or large intestine.
The main task of the esophagus is to deliver food to the stomach, otherwise this function is called transport or motor. Also in the esophagus is provided by the lubrication of food passing through it. The esophagus protects against the reverse return of food from the stomach, that is, it helps to move food in only one direction.
If the patient is diagnosed with a serious pathology in which it is required to restore the structure of the esophagus, then the actions of doctors should be aimed at maximizing the preservation of the organ.
With irreversible disorders, when it is not possible to avoid surgical intervention, esophageal plastic surgery is performed.
Esophageal surgery has always been and remains one of the most difficult sections of reconstructive surgery Reconstructive operations on the esophagus using the stomach, colon and small intestine as a graft to create an artificial esophagus in GBUZ RCB
G.G. Kuvatov has been held for more than 30 years.
The essence of the operation is to replace the removed esophagus or its individual parts with an artificial esophagus.
The esophagus is an artificial organ (or part of it) used to create, by plastic surgery (esophagoplasty), a new way of passing food from the pharynx to the underlying parts of the digestive tract.
Indications for surgery:
1. Cicatricial narrowing (strictures) of the esophagus;
2. Neuromuscular diseases (esophageal achalasia, cardiospasm);
3. Barrett's esophagus.
The advantages of this technique - operations to create an artificial esophagus not only restore normal nutrition through the mouth, but in the vast majority of cases provide a good functional result, improve the quality of life or completely return a person to normal life.
Preparation for surgery
Before the operation, diagnostic examinations are mandatory (as prescribed by a doctor).
In order for the operation to be successful, before it is carried out, it is necessary to transfer all existing chronic pathologies to the stage of remission. Before surgery, it is forbidden to undergo a course of treatment with blood-thinning drugs and medications to reduce the tone of muscle fibers. Also, a month before the operation, you need to stop smoking.
Postoperative period
In the first week of rehabilitation, the patient is fed through a special tube. The patient is under the supervision of medical personnel. This helps to avoid complications. Gradually (taking into account the patient's condition), the doctor adds soft and then hard food to the diet.
The average duration of stay in the hospital is 14-16 days.