Esophagostomy (Oesophagostomy)

Oesophagostomy is a surgical procedure that involves creating an artificial fistula in the wall of the esophagus. This operation is usually performed after pharyngeal surgery, when temporary feeding of the patient through an artificial fistula is required.

In an esophagostomy procedure, a small hole is created in the wall of the esophagus through which a thin tubular catheter is inserted. The catheter is secured in place, and its end is brought out, which is used for feeding the patient. This procedure allows food to go directly into the stomach, bypassing the larynx and nasopharynx, which may be necessary if you have certain diseases.

One of the main advantages of an esophagostomy is that the patient can be fed even if they have trouble swallowing. Patients who have had throat surgery or are suffering from throat cancer may have difficulty digesting and feeding. An esophagostomy allows them to receive the nutrients they need without obstructions in the larynx and nasopharynx.

However, like any surgical procedure, esophagostomy is not without risks. There may be complications such as infection, bleeding, and problems with wound healing. Patients who have undergone esophagostomy must carefully monitor the hygiene of the area where the fistula is located and follow all doctor’s recommendations.

Overall, esophagostomy is an important tool in the treatment of patients with certain diseases that make digestion and feeding difficult. However, the decision to undergo this procedure should be made by the doctor after a thorough examination of the patient and an assessment of all the risks and benefits.

Esophagostomy is an operation that involves creating an artificial external esophageal fistula for temporary feeding of the patient. It is performed after operations on the pharynx and larynx, when the patient is unable to eat on his own.

An esophagostomy is an opening that is created in the wall of the esophagus and connected to the external environment. Through this opening, a tube is inserted into the esophagus to allow the patient to receive food and fluids.

The operation can be performed either open or endoscopically. In the first case, the surgeon makes an incision in the skin and muscles of the anterior abdominal wall to gain access to the esophagus. In the second case, a special endoscope is used, which is inserted through the mouth or nose into the esophagus and creates an opening.

After surgery, the patient must follow certain rules of behavior to avoid complications and speed up the healing process. For example, you need to avoid overeating and eat only soft foods, and also avoid physical activity and stress.

Overall, esophastomy is an effective method of temporary feeding for patients who are unable to feed themselves. However, it may have some complications such as infection, bleeding and damage to the esophagus. Therefore, before surgery, it is necessary to carefully assess the patient’s condition and select the most appropriate treatment method.

Esophagotomy is a type of surgical intervention. With esophagomy, an artificial fistula is created between the cervical part of the esophagus and the posterior region of the stomach. This operation is performed when it is impossible to feed the patient naturally. Fistulas created between these organs can be used for a permanent or temporary feeding tube.

Esophagostomy can be performed for a short time or until the tissue has completely healed. Periodically, you need to bandage or bandage the stoma area so that it does not become loose and avoids re-bleeding. Fistula formation also has a positive effect on breathing, as adhesions are reduced and there is no stenosis of the airways.

The procedure is very simple and is performed under anesthesia. It is performed using transverse or longitudinal incisions in the subareoral area. The fistula is created by connecting the incision to an external incision in the abdominal wall, passing through the anterior abdominal wall and spinocostal ramifications. After the operation is completed, the fistula is covered with a thin plastic covering; usually, a nasogastric tube is inserted through it to further feed the patient, or a diet is prescribed using special nutrition through a catheter.

If the patient is in the intensive care unit and has a problem with swallowing, then access to the gastrointestinal tract may require an emergency procedure - fistulization (artificial formation of a hole in the wall of the stomach with displacement of the esophageal arch). So urgent