Application of biological welding as a method of treatment of esophageal metaplasia

Keywords: esophageal metaplasia; mucosal destruction, using biological welding; argon-plasm coagulation.

Abstract

Objective. To estimate a high-frequency welding of the living tissues as a variant of treatment for the Barrett’s esophagus.

Materials and metods. Retrospective analysis of the treatment results was conducted in 73 patients, suffering Barrett’s esophagus, in 36 of whom the argon-plasm coagulation was performed (Group I), while in 37 (Group II) - a high frequency welding of living tissues. Into the investigation the patients with a short-segment Barrett’s esophagus C2-3M3-4 (the Prague Classification, 2004 yr) and a high-grade dysplasia without a nodule development (VI World Congress of International Society for Diseases of the Esophagus (ISDE) were included.

Results. In patients of Group I a severe esophageal edema have occurred in accordance to endoscopic ultrasonography data. In this Group in 5 (13.89%) patients after performance of the argon-plasm coagulation esophageal stenosis was observed, corrected by application of the balloon dilation. In 8 (22.22%) patients of this Group the disease recurrence have occurred, necessitating performance of additional séance of the argon-plasm coagulation. In patients of Group II the above mentioned inflammatory signs were less pronounced, and mucosal regeneration have proceeded more rapidly, than in patients of Group I - during 53 and 115 days, accordingly. The disease recurrence was noted in 2 (5.41%) patients of Group II only.

Conclusion. High-frequency welding of living tissues constitute a safe and effective method of treatment in patients, having esophageal metaplasia.

Author Biographies

V. V. Tyselskyi, Shupyk National Academy of Postraduate Education, Kyiv

Volodymyr V. Tyselskyi, MD
Department of Surgery and Proctology
Shupyk National Medical Academy of Postgraduate Education
9 Dorohozhytska Str., Kyiv, 04112 Ukraine
+38(096)7444258
Vovik-tc@ukr.net
orcid.org/0000-0001-5117-114X

B. G. Bondarchuk, Shupyk National Academy of Postraduate Education, Kyiv

Bogdan G. Bondarchuk, MD, Assistant Professor
Department of Surgery and Proctology
Shupyk National Medical Academy of Postgraduate Education
9 Dorohozhytska Str., Kyiv, 04112 Ukraine
+380677108903
bgb69@i.ua
orcid.org/ 0000-0002-9906-384X

V. A. Hordovskyi, Shupyk National Academy of Postraduate Education, Kyiv

Hordovskyi Vladyslav A, MD, Assistant Professor
Department of Surgery and Proctology
Shupyk National Medical Academy of Postgraduate Education
9 Dorohozhytska Str., Kyiv, 04112 Ukraine
+380638865701
Vladg1980@gmail.com, vladg@i.ua
orcid.org/0000-0003-4188-6664

A. B. Kebkalo, Shupyk National Academy of Postraduate Education, Kyiv

Kebkalo Andrey B - MD, Professor
Department of Surgery and Proctology
Shupyk National Medical Academy of Postgraduate Education
9 Dorohozhytska Str., Kyiv, 04112 Ukraine
+380973093396
andkebkalo@gmail.com
orcid.org/0000-0001-6517-6902

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Published
2020-07-24
How to Cite
Tyselskyi, V. V., Bondarchuk, B. G., Hordovskyi, V. A., & Kebkalo, A. B. (2020). Application of biological welding as a method of treatment of esophageal metaplasia. Klinicheskaia Khirurgiia, 87(5-6), 9-12. https://doi.org/10.26779/2522-1396.2020.5-6.09
Section
General Problems of Surgery