Open AccessMODERN METHODS OF THE TREATMENT OF ESOPHAGEAL STRICTURES IN BULLOUS EPIDERMOLYSIS CHILDREN
Author(s) -
A.V. Tupylenko,
M.M. Lokhmatov,
Н. Н. Мурашкин,
V.I. Oldakovskiy
Publication year - 2019
Publication title -
rossijskij pediatričeskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2413-2918
pISSN - 1560-9561
DOI - 10.18821/1560-9561-2018-21-1-54-61
Subject(s) - medicine , esophageal stenosis , epidermolysis bullosa , gastrostomy , percutaneous endoscopic gastrostomy , esophageal stricture , refractory (planetary science) , stenosis , surgery , endoscopic treatment , endoscopy , radiology , esophagus , dermatology , peg ratio , physics , finance , astrobiology , economics
The review presents modern approaches to the treatment and prevention of the benign esophageal stenosis in epidermolysis bullosa (EB) children. There are discussed advantages and disadvantages of such main methods as conservative, intraluminal recanalization, and surgical operations used in the treatment of esophageal strictures in EB patients. The features of anesthesia in BE patients are described. Balloon dilatation of esophageal strictures under endoscopic or fluoroscopic control has been shown to be the optimal method of treating patients. In severe BE children with refractory esophageal stenosis, developmental delay, and nutritional status disorders, to perform hyperalimentation by virtue of the percutaneous endoscopic gastrostomy (PEG) tube is recommended.