Abstract: | Method of orthograde and retrograde forced bouginage for treatment of 533 patients with cicatricial strictures of the esophagus was used during 1975-1995 years (486 procedures). In comparison with routine methods it has shown high effectiveness and safety. Perforation of the esophagus was detected only in 2 (0.43%) patients. Good and favourable immediate results were obtained in 95.1% patients. Follow-up results up to 20 years are available for 336 (71.8%) patients. Good result was obtained in 78.6% patients, favourable--in 16.1%, poor results--in 5.2%. It is emphasized, that the principal method for treatment of patients with cicatricial strictures of the esophagus is bouginage. The method of orthograde and retrograde bouginage of the esophagus contributes to steady remission of the disease in 95% of patients. |