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Aims. To optimize the surgical treatment of corrosive oesophageal strictures depending on the extent of constriction. Materials and methods. Following X-ray of the oesophagus, all patients were subdivided into groups, depending on the extent of constriction. Of the 232 patients, 143 (61.6%) had short strictures up to 4 cm, for which the method of endoscopic forced bougienage along the string-guidewire was applied. In 89 (38.4%) of patients with stricture length over 4 cm, the method of point gastrostomy was applied taking into account intraorganic anastomosis of major vascular collectors of the stomach, followed by a forced bougienage with a guide thread. The average bougienage period was 12 ± 1.3 months at intervals of 2–3 months. In addition, 19 (21.3%) of 89 patients with previously formed point gastrostomy had subtotal resection of the oesophagus with the gastric graft plasty due to bougienage inefficiency. Results. After the first bougienage session, 138 (59.5%) patients noted regression of dysphagia from grade III to grade II. All 232 (100%) patients had restoration of food transit through oesophagus with grade I dysphagia as early as after the third session of forced bougienage. There was one death with forced bougienage with a guide thread through the previously formed gastrostomy in the patient with cachexia and aggravating multiple organ failure. The mortality rate was 0.43%. Enteral nutrition was fully restored in all patients. No signs of nutritional deficiency were noted. Conclusions.

TACTICAL ASPECTS OF TREATMENT OF CORROSIVE OESOPHAGEAL STRICTURES CAUSED BY ITS CHEMICAL BURN