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A F Chernousov

Publications and source records attributed to A F Chernousov.

At least 145 records · Page 8Linked to original sources
PubMedDate not supplied

Colonic esophagopharyngoplasty in combined chemical esophageal and pharyngeal strictures.

The treatment of patients with combined chemical strictures located in the upper gastrointestinal tract presents a difficult task. A complicated mechanism of swallowing-breathing can be broken by the development of a cicatricial process in the pharynx or laryngo-oropharynx. The surgical interference is aimed not only at construction of an artificial esophagus but restoration of the normal swallowing and adequate feeding of a patient. The article presents the experience of 47 colonic esophagopharyngoplasties. Preference is given to one-stage procedures. The graft in the majority of cases was constructed from the left colon. The mortality rate was 2.1%, and pharyngeal anastomotic leak occurred in 5 (10.6%) patients. Pharyngeal anastomotic cicatricial stricture developed in 4 (8.5%) patients and 2 of them required of reconstructive surgery. Long-term results have shown that the majority of patients are using the artificial esophagus. Only in 2 patients is swallowing still impaired and they continue to feed via a gastrostomy. The results obtained show that a one-stage colonic esophagopharyngoplasty is the method of choice in combined chemical pharyngoesophageal strictures. Nevertheless, such procedures should only be carried out in specialized divisions with experience in reconstructive esophageal surgery.

Adolescent↗
PubMedDate not supplied

[Subtotal Billroth-I gastric resection in cancer. The technic and the immediate results].

An analysis of literature data and results of operations on 150 patients with gastric cancer enabled the authors to make a conclusion that subtotal Billroth-I resection of the stomach with correct indications is more preferable as compared with the Billroth-II method. A contraindication for it is considered to be not technical problems of putting gastroduodenal anastomosis but spread of the tumor to the pylorus and duodenum. Based on an examination of preparations of the lymph nodes taken during extended lymphadenectomy performed in 34 patients the authors made a conclusion of its necessity in patients with not large primary tumors as well.

Adult↗