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    1. State Budgetary Institution of Health Care “Region Clinic Hospital Nr 2” Health Ministry of Krasnodar Region, 350112, Krasnodar, Russia
    2. Federal State Budgetary Educational Institution of Higher Education “Kuban State Medical University” Health Ministry of Russian Federation, 350112, Krasnodar, Russia

    Keywords: scarring stricture, bowel, hardware bougienage, balloon dilatation, colonoscopy

    Abstract:The aim of investigation: determination of the eff ectiveness of endoscopic methods in treatment of patients with low scarring strictures of bowel in settings of SBIHC “Region Clinic Hospital Nr 2” Materials and methods: we analyzed the treatment of 32 patients with low scarring strictures of bowel. The reasons of development of scarring narrowings and options of endoscopic treatment of this group of patients were studied. The causes of formation of scarring strictures in 29 patients (91,0%) were operarions performed. In 3 patients (9,0%) of this group low scarring strictures developed on the background of infl ammatory bowel disease performed. Results: in SBIHC “Region Clinic Hospital Nr 2” the following methods of endoscopic recanalization of scarring strictures were used: hardware bougienage were performed in 12 patients (37,5%), mechanical bougienage (using silicone bougies) in 6 patients (18,8%), combination of methods of hardware and mechanical bougienage was used in 4 patients (12,5%), balloon dilatation as the method of the extension of the lumen was used in 4 patients (12,5%), combination of methods of mechanical bougienage and balloon dilatation was used in 4 (12,5%) patients, stenting with nitinole self-expanding stents was used in 2 patients (6,2%). The effi ciency of used methods was 72%. In the majority of cases (65,6%) multi-stage treatment was required. In patients with whom we failed to achieve adequate expansion of the lumen the reconstructive surgery was performed. Conclusion: endoscopic methods of recanalization of the lumen in scarring narrowings are suffi ciently eff ective with compliance of conditions of dynamic observation.

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    Gabriel S. A., Durleshter V. M., Guchetl A. Ya., Krushelnitskiy V. S., Dynko V. Yu., Tlekhuray R. M., Kortieva A. T., Ignatenko V. V. Endoscopic possibilities in of patients with low cicatricial strictures. Experimental and Clinical Gastroenterology. 2019;162(2): 84–88. (In Russ.) DOI: 10.31146/1682-8658-ecg-162-2-84-88
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    1. Moscow regional research and clinical Institute n. a. M. F. Vladimirsky, Moscow, Russia
    2. City clinical hospital № 24, Moscow, Russia

    Keywords: low- ampullar rectal cancer, magnetic resonance imaging, metastasis, lymph nodes

    Abstract:Rectal cancer is one of the leaders in the structure of mortality in both sexes, with the only radical method of treatment is surgery. For the planning of surgical treatment, it is important to assess the metastatic lesion of the locoregional lymph nodes, which is an important predictor of the recurrence of the disease. The effi ciency and accuracy of the preoperative determination of metastatic regional lymph nodes in low-ampullar rectal cancer increased signifi cantly after the introduction into clinical practice of magnetic resonance imaging with the use of diff usion-weighted image and a non-ionic paramagnetic. The article is devoted to the problems of preoperative staging and determination of metastases in regional pararectal lymph nodes by comparing the results of MRI studies with contrast enhancement and MRI with diff usion-weighted images (DWI) in the diagnosis of metastases –positive locoregional lymph nodes, comparison with the data of histological studies of intraoperative material.

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    Full text is published :
    Volkova S. N., Stashuk G. A., Vishnyakova M. V., Chermensky G. V., Levchenko S. V. Capabilities of magnetic resonance imaging in evaluating metastatic regional lymph nodes in lower ampullar rectal cancer. Experimental and Clinical Gastroenterology. 2019;162(2): 89–95. (In Russ.) DOI: 10.31146/1682-8658-ecg-162-2-89-95
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