Surgical Treatment of Decompensated Cicatricial Stricture of the Esophagus, Grade III-IV Dysphagia, and Compression Syndrome Caused by Nontoxic Multinodular Goiter: A Case Report

Abstract

Objective: Long-standing gastroesophageal reflux disease is the most common cause of a cicatricial stricture of the esophagus. The treatment of this pathology involves a wide range of methods including conservative and surgical options. Surgeons can encounter technical difficulties in case of concomitant neck and chest pathology.Clinical case: We report a case of a decompensated cicatricial stricture of the esophagus with concomitant paraesophageal hiatal hernia, refractory gastroesophageal reflux disease, and nontoxic multinodular goiter (166.9 cm3). Selecting the optimal management for such patients is often a challenge. Staged treatment significantly improves postoperative quality of life, but the increased length of hospital stay can negatively impact patient compliance.

Topical issues of toxic goiter diagnosis and treatment

“…Таким образом, основной задачей на данном этапе развития хирургии ЩЖ при ДТЗ была профилактика гипотиреоза путем сохранения наиболее адекватного объема остатка щитовидной железы. С появлением синтетического аналога тироксина и выявлением основных патогенетических механизмов тиреотоксикоза основным видом вмешательств стала тиреоидэктомия[11,39,40].…”