Open AccessTreatment of Children with Chemical Burns of Esophagus with Various Etiology
Author(s) -
А. Е. Стрюковский,
В. А. Тараканов,
В. М. Старченко,
Н. В. Пилипенко,
В. М. Надгериев,
А. Ю. Гриценко,
Е. А. Полянский,
С. А. Сидоренко
Publication year - 2019
Publication title -
innovacionnaâ medicina kubani
Language(s) - English
Resource type - Journals
eISSN - 2541-9897
pISSN - 2500-0268
DOI - 10.35401/2500-0268-2019-14-2-45-50
Subject(s) - medicine , etiology , stage (stratigraphy) , esophagus , surgery , pediatrics , cohort , paleontology , biology
Background At present continuous growth of pathology after chemical burns of the esophagus (CBE) in children is observed. The lack of uniform statistical infor-mation about this pathology in domestic and foreign literature considerably complicates studying of that nosology.The purpose of the present study is optimization of treat-ment techniques in children with chemical burns of the esophagus with various etiology and generalization of our own experience of treatment in this contin-gent of patients.Material and Methods We have analyzed treatment techniques in 147 children with CBE with various etiology and severity for last decade. The gen-eral method of diagnosis was esophago-gastroscopy performed within the first day of hospitalization. Endoscopic examination showed following stages of CBE: I stage in 36 patients, II stage in 67 cases and 44 patients had III stage.Results In children with I stage CBE erosive inflammatory process was controlled by conservative therapy in 10-14 days. This cohort of patients from 3-4 day of disease was considered outpatient. Patients with II stage CBE erosive inflammatory changes were treated by complex therapy on 21-23 day. There were surgical complications observed. Patients with III stage CBE referred in most severe condition. Length of conservative treatment for erosive inflammatory process was 1 month. In this group of patients we observed complications in 24 cases (16.3%) and bougienage was performed according to different techniques. Duration of bougienage varied from 3 to 24 months. Later on all children wereobserved out-patiently according to the place of residence.Conclusions Performed therapy should be complex and differentiated re-garding the severity of trauma. Complex treatment technique designed in our hospital is quite efficient and could be recommended for clinical application. All children suffered from CBE are to be followed up regularly. Preventive medical check-up should include endoscopic examination, once every three months to avoid possible esophageal stenosis development. Preventive treatment for esophagitis is mandatory during the period of preventive medical check-up.