Consilium MedicumConsilium MedicumConsilium MedicumConsilium Medicum2075-17532542-2170Consilium Medicum9550910.26442/20751753.2021.5.200873ArticlesСтатьиReview ArticleEndoscopic stenting of refractory benign esophageal strictures (review)Эндоскопическое стентирование при рефрактерных доброкачественных стриктурах пищевода (обзор)IvanovAleksej I.ИвановАлексей Игоревич

канд. мед. наук, доц. каф.

a.i.ivanov@inbox.ruPopovVladimir A.ПоповВладимир Альбертович

врач-эндоскопист

lyapac@mail.ruBurmistrovMihail V.БурмистровМихаил Владимирович

д-р мед. наук, проф. каф.

burma71@mail.ruChugunovAlexandr N.ЧугуновАлександр Николаевич

д-р мед. наук, проф., зав. каф.

chugunov-an@mail.ruNazmeevMarat A.НазмеевМарат Альбертович

канд. мед. наук, зав. отд-нием

77nma@mail.ruGatinIl'nar T.ГатинИльнар Талгатович

врач-эндоскопист

ilnar-1@mail.ruRahmatullinVadim B.РахматуллинВадим Булатович

врач-эндоскопист

endo-xupypr@yandex.ruRepublican Clinical Oncological DispensaryГАУЗ «Республиканский клинический онкологический диспансер» Минздрава Республики ТатарстанKazan (Volga Region) Federal UniversityФГАОУ ВО «Казанский (Приволжский) федеральный университет»Kazan State Medical Academy - branch of the Russian Medical Academy of Continuing Professional EducationКазанская государственная медицинская академия - филиал ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииRepublican Clinical HospitalГАУЗ «Республиканская клиническая больница» Минздрава Республики Татарстан15052021235VOL 21, NO5 (2021)ТОМ 23, №5 (2021)44845228122021Copyright ©; 2021, Consilium MedicumCopyright ©; 2021, ООО "Консилиум Медикум"2021Consilium MedicumООО "Консилиум Медикум"https://creativecommons.org/licenses/by-nc-sa/4.0https://consilium.orscience.ru/2075-1753/article/view/95509

Despite the fact that the overwhelming majority of benign esophageal strictures, although long-term, but effectively stop with the help of endoscopic recanalization, 10% of them recur. Such strictures are a major problem in thoracic surgery. Disabled surgical methods of treatment are associated with a sufficiently high mortality rate and do not guarantee the formation of new anastomotic strictures. Esophageal stenting against the background of a limited endoscopic arsenal of methods for recanalization of benign strictures is the last option. A lot of different models of esophageal stents with their own individual characteristics and features have appeared since the introduction of the first stents in clinical practice. All were investigated in an attempt to identify the optimal stent type and design for the treatment of refractory benign strictures. The review is devoted to the current state of stenting in recurrent benign esophageal stenosis. The review reflects the efficacy and disadvantages of various types of stents and their comparison with a focus on new biodegradable stents used in the treatment of benign esophageal strictures.

Несмотря на то, что подавляющее большинство доброкачественных стриктур пищевода хоть и длительно, но эффективно купируется с помощью эндоскопических реканализаций, 10% из них рецидивирует. Такие стриктуры являются серьезной проблемой торакальной хирургии. Ин-валидизирующие хирургические методы лечения сопряжены с достаточно высокой частотой летальности и не гарантируют образования новых анастомотических стриктур. На фоне ограниченного эндоскопического арсенала методов реканализаций доброкачественных стриктур стентирование пищевода является последним вариантом. С момента внедрения первых стентов в клинической практике появилась масса различных моделей пищеводных стентов со своими индивидуальными характеристиками и особенностями. Все они исследованы в попытке выявить оптимальный тип и конструкцию стента в лечении рефрактерных доброкачественных стриктур. Обзор посвящен современному состоянию стентирования при рецидивирующих доброкачественных стенозах пищевода. В обзоре отражены эффективность и недостатки различных видов стентов, а также их сравнение с акцентом на новые биодеградабельные стенты, используемые при лечении доброкачественных стриктур пищевода.

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