Relevance The use of stents in benign diseases of the esophagus gets wide distribution. However, the opinions of the authors based on the results of their application is different. The purpose of the study On the basis of a clinical example to demonstrate the possibility of developing severe complications in long-term presence of the stent in the esophagus. Materials and methods As an example, here the clinical situation: a patient 55 years old, is being treated in hospital after installing self-expanding metal stent with Boerhaven syndrome complicated by pleural empyema left. 6 months after stent placement complained of difficulty in swallowing solid, liquid and semi-liquid food. Examination revealed narrowing of the esophagus to upper edge of the stent, phenomenon of nutritional deficiency. Results and their discussion Delete stent failed. To ensure the supply and preoperative performed probing the narrowed portion of the esophagus with the installation of a probe for food in the stomach. After preoperative preparation underwent extirpation of the esophagus with esophagogastroplasty. The postoperative period was uneventful. In a study of 2 months after surgery no complaints, food through mouth restored. Conclusion In patients with benign esophageal diseases self-expanding nitinol undesirable use of stents in view of the above complications. When attempting to use this category of stents in patients with benign diseases of the esophagus, you must monitor the patient in the dynamics of the evaluation and its standing stent patency. Key words Stenting of esophagus, self-expanding metal stents, extirpation of esophagus, esophageal stenting complications

The purpose of the study Rating immediate and long-term results esophagoplasty in patients with achalasia of the esophagus. Material and methods The extirpation of esophagus was performed in 47 patients with ahalasia of the esophagus. In postoperative period all patients were examined in terms of 1 month to 10 years. Performed endoscopy of artificial esophagus, X-ray and EUS of artificial esophagus. Results and their discussion In 53.2 % of the cases in the first 6 months after surgery were observed in the form of the common symptoms of weakness, fatigue, and a significant reduction in physical activity , united us in asthenic syndrome . Dumping syndrome was diagnosed in 7 patients and arrested in 5 patiens. Pilorospasm diagnosed in 4 patients. Achieved 1-2 year balloon dilation of the pylorus with a good clinical effect. Anastomotic stenosis was diagnosed in 20 patients. Held from 1 to 5 courses bougienage and (or) the dilation of the anastomosis with a good clinical effect for 1 year after surgery. According to the endo ultrasound identified and described three types of blood supply to the graft and esofagogastroanastomosis: central ( trunk ) , loose and mixed . Noting the large number of anastomotic stenosis in the central type of blood supply. Conclusion Extirpation of the esophagus with achalasia stage IV disease is an effective surgical intervention. All patients in the postoperative period require clinical, endoscopic and radiological monitoring, allowing in the early stages to identify and address emerging disease states, without resorting to an open surgical procedures . Adverse prognostic factor for esophageal anastomotic stenosis scarring is main type of gastric blood flow of the graft. These patients require dynamic endoscopic observation within 1-3 months after surgery

The authors present their experience with surgical treatment (one-stage replacement of the esophagus) of 113 patients with cicatricial constriction of the esophagus after chemical burn and esophageal achalasia for the recent 10 years. At the present-day stage priority is given to bougienage of the esophagus followed by setting a nasogastric probe for nutrition. Since 2006 the traditional preoperative preparation has included nutrition support with the standard enteral mixture through the nasogastric probe in the volume of physiological requirement for 7-10 days. The proposed method allows improvement of the nutrition status of the patients in short-terms, lessening the number of complications, shorter period of staying at a resuscitation unit.

All patients with diseases of the esophagus have varying degrees of nutritive deficiency, which increases the risk of postoperative complications. To improve the treatment results the nutritive therapy with standard or enteral giperkaloric mixture has been included in the preoperative preparation of the patients in accordance with the pathogenetic mechanisms underlying the development of nutritional deficiency.

The nearest and separated results of esophagoplastic are presented. An artificial esophagus, formed from a gastric tube, perfectly substitutes the conducting of food function of remote gullet, and for all that the worsening of its functions wasnt noted. Patients after esophagoco lonoplastic in time more frequently have the different pathological states, which results in worsening of of transplant functioning because of expressed reflux, increasing low blood pressure and its deformation.

Experience of treatment of 105 patients with аchalasia aged from 18 till 73 years is presented. There were 19 patients with the first stages of diseases, 37 patients with the second stage, 25 patients with the third stage of disease, 23 patients with the fourth stage of disease. Balloon dilatation is executed to 83 patients. Rupture cardia at performance dilatation has occurred in 2 patients. Proof clinical disappearance of dysphagias was received in 76 patients after cardia dilatation. Extirpation of gullet with one-stage esophagoplasty is executed to 30 patients. Complications in the early postoperative period have arisen in 3 patients. The remote results of esophagoplastic are estimated in all patients in the course of dynamic supervision and correction of pathological conditions within the period of 10 years. The stenosis of esophagogastric anastomosis with occurrence of dysphagia has arisen in 10 patients, pylorospasm was found in 2 patients. All pathological conditions were corrected at endoscopic interventions. No complications were found.

Experience of treatment of 254 patients having scar after-burn esophageal narrowings is presented in the article. Bougieurage of the esophagus was performed in 249 patients. Esophageal plasty was performed in 88 patients. Complications as partial insolvency of anastomosis on the neck were noted in 15 patients. Necrosis of colonic transplant occurred in 1 patient. Lethal outcome was noted in 3 patients in the setting of polyorgan insufficiency advancing.

Data of endoscopic treatment of 50 patients with stenosis esophageal anastomosis after esophagoplastic for benign diseases of the esophagus Methods anastomotic bougieurage of the string, balloon dilatation of anastomosis, and their combination were used. Using these methods of treatment allowed to complete treatment without reconstruction of anastomosis in 49 patients. In 1 patient, endoscopic therapy was effective. Reconstruction of anastomosis of ?three quarters? type was performed.