Современные подходы к хирургическому лечению механических повреждений пищевода

   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.

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