ESTIMATION OF GASTRIC TRANSPLANT MORPHOFUNCTIONAL STATUS IN REMOTE PERIOD AFTER ESOPHAGOPLASTY

Abstract

35 patients were examined in 3-10 years after transhiatus esophageolpastics on account of esophageal achalasia were examined. It was determined at X-ray and. endoscopic examination that transplant held tubular shape without considerable deformations, tended to the atrophy and moderate focal hyperemia of mucous tunic and also underwent bile reflux. In 5 cases we revealed first time appeared stenosis of esophagogastric anastomosis, permeability of which was restored by endoscopic method in all patients. Dystrophic changes and. high secretion of superficial epithelium dystrophy and. focal atrophy of fundus glands, cellular infiltration of stroma, thickening and. fibrosis of muscular layer of mucous tunic of gastric tube were revealed microscopically in biopsy material. Revealed morphofunctional peculiarities of transplant testify to the realization of a complex of adjustments and. pathological reactions in it and. dynamic control of course of these reactions is considered necessary at the patients' mass health examination.

Keywords

• esophageolpastics
• gastric transplant
• morphology