METHOD FOR ASSESSING ANASTOMOSITIS SEVERITY DEGREE IN ESOPHAGEAL ANASTOMOSES IN EARLY STAGE POSTOPERATIVE PERIOD

摘要

FIELD: medicine.;SUBSTANCE: method involves carrying out endoscopic ultrasonography of esophageal anastomosis zone. Inflammatory infiltration being spread over mucous membrane only, catarrhal anastomositis is diagnosed if mucous membrane layer thickening aggravated with basal membrane edema is available. Inflammatory infiltration being spread over mucous and submucous layer and superficial defect being not as deep as basal membrane of the mucous membrane with mucous and submucous layer being thickened, with hypoechogenic inclusions and dilated blood vessels in submucous layer and fuzzy boundaries separating the zones being available, erosive anastomositis is diagnosed. Inflammatory infiltration being spread over mucous, submucous and muscular layer, muscular layer architectonics being disturbed and boundaries separating the layers being unidentifiable, infiltrative anastomositis is diagnosed. Mucous and submucous layer integrity being violated with muscular layer being included as hypoechogenic destruction area, in fundus of which hyperechogenic necrotic masses being detected, inflammatory infiltration being spread over mucous, submucous and muscular layers with muscular layer architectonics and boundaries between the layers being disturbed, ulcerating anastomositis is to be diagnosed. Mucous, submucous and serous layers integrity being violated as hypoechogenic destruction area with hyperechogenic necrotic masses and inflammatory infiltration being spread over all anastomosis layers with anastomosis infiltrate, periprocess, abscesses related to anastomosis suture line being produced, ulcerating perforating anastomositis is to be diagnosed.;EFFECT: high accuracy and information capacity of assessment during early stage postoperative period.;11 dwg