peritonitis and mediastinitis due to the categorical rejection of the proposed emergency operations. Bleeding in
the form of vomiting fresh blood in all cases stopped by conservative measures.
B) Late complications. Among the specific complications inherent ES technique, the following were
observed late complications: occlusion of the stent food - 18 (21.4%); obstruction of proximal part of the stent
tumor - 9 (10.7%), occlusion of the distal stent tumor - 6 (7.1%); migration of the stent into the stomach - 3 (3.6%);
migration of the stent in the esophagus - 1 (1.2%); pain, analgesics are not docked - 6 (7.1%). In cases of stent
obstruction was conducted fragmentation food bolus under control endoscopy and push food at the distal end
of the stent. When tumor obstruction of the proximal end of the stent held EDT followed by further
restentirovaniem. In cases the tumor obstruction of the distal end of the stent was performed by only EDT. In
cases of stent migration into the stomach was carried out under the supervision of the extraction of the stent
endoscopy followed restenting. When the left-Bo syndrome, not cropped analgesics stent removed.
The introduction of endoscopic techniques has solved the most important issue - the elimination of dysphagia,
which in these patients leads to nutritional depletion of non-resectable patients. Minimally invasive techniques
described, the absence of a cosmetic defect, there is no need of specific care set endoprothesis and relatively
easily tolerated by patients of the technique endoprothesis stent installation suggest a viable alternative to the
imposition of gastrostomy and jejunostomy.
This work was supported by “Republican Specialized Scientific and Practical Medical Center of Surgery
named after Academician V.Vakhidov”, Uzbekistan.
All authors contributed equally to this work.
The authors declare that they have no competing interests.
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Citation: Strusskiy LP, Nizamkhodjaev ZM, Ligay RE, Khusanov AM and Omonov RR. 2019. Role and place of the endoscopic therapy in advanced stages of