nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”10.23934/2223-9022-2023-12-4-650-657nmp-1728Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWSСовременные подходы к хирургическому лечению механических повреждений пищеводаModern Approaches to Surgical Treatment of Mechanical Injuries of the Esophagushttps://orcid.org/0000-0001-9514-9446ГасановМ. А.GasanovM. A.

Мурад Артурович Гасанов, врач-эндоскопист

отделение неотложной хирургии, эндоскопии и интенсивной терапии

отделения эндоскопии и внутрипросветной хирургии

129090

Б. Сухаревская пл., д. 3

Москва

Murad A. Gasanov, Endoscopist

Department of Emergency Surgery, Endoscopy and Intensive Care

Department of Endoscopy and Endoluminal Surgery

129090

3, Bolshaya Sukharevskaya Sq.

Moscow

surgeongasanov001@gmail.comhttps://orcid.org/0000-0001-6217-387XДаниелянШ. Н.DanielyanSh. N.

Шаген Николевич Даниелян, доктор медицинских наук, ведущий научный сотрудник

отделение неотложной хирургии, эндоскопии и интенсивной терапии

129090

Б. Сухаревская пл., д. 3

Москва

Shagen N. Danielyan, Doctor of Medical Sciences, Leading Researcher

Department of Emergency Surgery, Endoscopy and Intensive Care

Department of Emergency Thoracoabdominal Surgery

129090

3, Bolshaya Sukharevskaya Sq.

Moscow

shdanielyan@gmail.comhttps://orcid.org/0000-0001-6112-9404АбакумовМ. М.AbakumovM. M.

Михаил Михайлович Абакумов, профессор, доктор медицинских наук, советник директора

отделение неотложной хирургии, эндоскопии и интенсивной терапии

129090

Б. Сухаревская пл., д. 3

Москва

Mikhail M. Abakumov, Professor, Doctor of Medical Sciences, Advisor to the Director

Department of Emergency Surgery, Endoscopy and Intensive Care

129090

3, Bolshaya Sukharevskaya Sq.

Moscow

abakumov_sklif@mail.ruГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ»РоссияN.V. Sklifosovsky Research Institute for Emergency MedicineRussian Federation202322012024124650657Copyright © Гасанов М.А., Даниелян Ш.Н., Абакумов М.М., 20242024Гасанов М.А., Даниелян Ш.Н., Абакумов М.М.Gasanov M.A., Danielyan S.N., Abakumov M.M.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/1728

   Механические повреждения пищевода — тяжелая ургентная патология, характеризующаяся развитием жизнеугрожающих осложнений. При всем многообразии современных диагностических и лечебных технологий летальность у этой категории пациентов остается достаточно высокой, что требует поиска новых подходов к данной проблеме. Проведен анализ современных подходов к лечению механических повреждений пищевода и их осложнений. В практике хирургии повреждений пищевода все большее распространение получают минимально инвазивные технологии, в том числе эндовидеохирургические и пероральные эндоскопические вмешательства. Особое место в этом занимает эндоскопическая вакуумная терапия, результаты которой достаточно изучены при лечении осложнений хирургии желудочно-кишечного тракта. В то же время применение данной технологии у пациентов с механическими повреждениями пищевода ограничено малыми сериями наблюдений, что требует дальнейшего изучения.

   Mechanical damage to the esophagus is a severe urgent pathology characterized by the development of life-threatening complications. With all the variety of modern diagnostic and treatment technologies, the mortality rate in this category of patients remains quite high, which requires the search for new approaches to this problem. An analysis of modern approaches to the treatment of mechanical injuries of the esophagus and their complications was carried out. In the practice of surgery for esophageal injuries, minimally invasive technologies are becoming increasingly common, including endovideosurgical and oral endoscopic interventions. A special place in this is occupied by endoscopic vacuum therapy, which results have been sufficiently studied in the treatment of complications of gastrointestinal surgery. At the same time, the use of this technology in patients with mechanical damage to the esophagus is limited to small series of observations, which requires further study.

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The authors declare that there are no conflicts of interest present.