ESTIMATION OF GASTRIC TRANSPLANT MORPHOFUNCTIONAL STATUS IN REMOTE PERIOD AFTER ESOPHAGOPLASTY
Abstract
35 patients were examined in 3-10 years after transhiatus esophageolpastics on account of esophageal achalasia were examined. It was determined at X-ray and. endoscopic examination that transplant held tubular shape without considerable deformations, tended to the atrophy and moderate focal hyperemia of mucous tunic and also underwent bile reflux. In 5 cases we revealed first time appeared stenosis of esophagogastric anastomosis, permeability of which was restored by endoscopic method in all patients. Dystrophic changes and. high secretion of superficial epithelium dystrophy and. focal atrophy of fundus glands, cellular infiltration of stroma, thickening and. fibrosis of muscular layer of mucous tunic of gastric tube were revealed microscopically in biopsy material. Revealed morphofunctional peculiarities of transplant testify to the realization of a complex of adjustments and. pathological reactions in it and. dynamic control of course of these reactions is considered necessary at the patients' mass health examination.
About the Authors
I. E. Sudovykh
Scientific Research Institute of Regional Pathology and Pathomorphology SB RAMS; Novosibirsk State Regional Clinical Hospital
Russian Federation
Russian Federation
I. A. Tokmakov
Scientific Research Institute of Regional Pathology and Pathomorphology SB RAMS; Novosibirsk State Regional Clinical Hospital
Russian Federation
Russian Federation
G. A. Lapiy
Scientific Research Institute of Regional Pathology and Pathomorphology SB RAMS
Russian Federation
Russian Federation
References
1. Черноусов А.Ф., Ручкин Д.В., Черноусов Ф.А., Балалыкин Д.А. Болезни искусственного пищевода. - М., 2008. - 673 с.
2. Джачвадзе Д.К. Морфофункциональное состояние желудочного трансплантата после операций по поводу рака кардии и пищевода // Вестник хирургии. - 2001. - Т. 160, № 2. - С. 109 - 112.
3. Кочетков А.В., Петляков С.И., Джачвадзе Д.К. Состояние моторной функции желудочного эзофаготрансплантата по данным импедансометрии // Вестник хирургии им. И.И. Грекова. - 2003. -№ 5. - С. 40 - 43.
4. Лапий Г.А., Непомнящих Л.М., Судовых И.Е., Кутепов А.В. Влияние эзофагопластики на структуру слизистой оболочки желудочного трансплантата // Бюл. экспериментальной биологии и медицины. - 2010. - Т. 149, № 5. - С. 584 - 588.
5. Devaney E.J., Lannettoni M.D., Orringer M.B., Marshall B. Esophagectomy for achalasia: patient selection and clinical experience // Ann. Thorac. Surg. - 2001. - Vol. 72, N 3. - P. 854 - 858.
6. Donington J.S. Functional conduit disorders after esophagectomy // Thorac. Surg. Clin. - 2006. -Vol. 16, N 1. - P. 53 - 62.
7. Gupta L., Bhatnagar V., Gupta A.K., Kumar R. Long-term follow-up of patients with esophageal replacement by reversed gastric tube // Eur. J. Pediatr. Surg. - 2011. - Vol. 21, N 2. - P. 88 - 93.
8. Kitabayashi K., Nakano Y., Saito H., Ueno K. et al. Comparison of emptying between gastric and colonic conduits following esophagectomy // J. Exp. Clin. Cancer Res. - 2002. - Vol. 21, N 3. - P. 315 - 320.
9. Lee J.I., Choi S., Sung J. Laparoscopic transhiatal esophagectomy for the treatment of advanced megaesophagus. An analysis of 60 cases // Rev. Col. Bras. Cir. - 2009. - Vol. 36, N 2. - P. 118-122.
10. Mori N., Fujita H., Sueyoshi S., Aoyama Y. et al. Helicobacter pylori infection influences the acidity in the gastric tube as an esophageal substitute after esophagectomy // Dis. Esophagus. - 2007. - Vol. 20, N 4. - P. 333 - 340.
11. Oki E., Morita M., Toh Y., Kimura Y. et al. Gastric cancer in the reconstructed gastric tube after radical esophagectomy: a single-center experience // Surg. Today. - 2011. - Vol. 41, N 7. -P. 966 - 969.
12. Poghosyan T., Gaujoux S., Chirica M., Munoz-Bongrand N. et al. Functional disorders and quality of life after esophagectomy and gastric tube reconstruction for cancer // J. Visc. Surg. - 2011. - Vol. 148, N 5. - P. 327 - 335.
13. Yoon Y.S., Kim H.K., Choi Y.S., Kim K. et al. Primary gastric cancer in an oesophageal gastric graft after oesophagectomy // Eur. J. Cardiothorac Surg. -2011. - Vol. 40, N 5. - P. 1181 - 1184.
Review
For citations:
Sudovykh I.E., Tokmakov I.A., Lapiy G.A. ESTIMATION OF GASTRIC TRANSPLANT MORPHOFUNCTIONAL STATUS IN REMOTE PERIOD AFTER ESOPHAGOPLASTY. Acta Biomedica Scientifica. 2012;(4(2)):126-130. (In Russ.)
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