Treatment of children with chemical burns of esophagus with various etiology
Background. At present continuous growth of pathology after chemical burns of the esophagus (CBE) in children is observed. The lack of uniform statistical information about this pathology in domestic and foreign literature considerably complicates studying of that nosology. The purpose of the presen...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1
2019-06-01
|
| Series: | Инновационная медицина Кубани |
| Subjects: | |
| Online Access: | https://www.innovmedkub.ru/jour/article/view/195 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849328719593734144 |
|---|---|
| author | A. E. Stryukovsky V. A. Tarakanov V. M. Starchenko N. V. Pilipenko V. M. Nadgeriev A. Yu. Gritsenko E. A. Polyansky S. A. Sidorenko |
| author_facet | A. E. Stryukovsky V. A. Tarakanov V. M. Starchenko N. V. Pilipenko V. M. Nadgeriev A. Yu. Gritsenko E. A. Polyansky S. A. Sidorenko |
| author_sort | A. E. Stryukovsky |
| collection | DOAJ |
| description | Background. At present continuous growth of pathology after chemical burns of the esophagus (CBE) in children is observed. The lack of uniform statistical information about this pathology in domestic and foreign literature considerably complicates studying of that nosology. The purpose of the present study is optimization of treatment techniques in children with chemical burns of the esophagus with various etiology and generalization of our own experience of treatment in this contingent of patients.Material and methods. We have analyzed treatment techniques in 147 children with CBE with various etiology and severity for last decade. The general method of diagnosis was esophagogastroscopy 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 were observed out-patiently according to the place of residence.Conclusions. Performed therapy should be complex and differentiated regarding 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 refularly. 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. |
| format | Article |
| id | doaj-art-0dd125acb76240e8a8df82183a9eefd3 |
| institution | Kabale University |
| issn | 2541-9897 |
| language | English |
| publishDate | 2019-06-01 |
| publisher | Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1 |
| record_format | Article |
| series | Инновационная медицина Кубани |
| spelling | doaj-art-0dd125acb76240e8a8df82183a9eefd32025-08-20T03:47:32ZengScientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1Инновационная медицина Кубани2541-98972019-06-0102455010.35401/2500-0268-2019-14-2-45-50188Treatment of children with chemical burns of esophagus with various etiologyA. E. Stryukovsky0V. A. Tarakanov1V. M. Starchenko2N. V. Pilipenko3V. M. Nadgeriev4A. Yu. Gritsenko5E. A. Polyansky6S. A. Sidorenko7Kuban State Medical University; Pediatric Regional Clinical HospitalKuban State Medical University; Pediatric Regional Clinical HospitalKuban State Medical University; Pediatric Regional Clinical HospitalPediatric Regional Clinical HospitalKuban State Medical University; Pediatric Regional Clinical HospitalKuban State Medical UniversityKuban State Medical UniversityKuban State Medical UniversityBackground. At present continuous growth of pathology after chemical burns of the esophagus (CBE) in children is observed. The lack of uniform statistical information about this pathology in domestic and foreign literature considerably complicates studying of that nosology. The purpose of the present study is optimization of treatment techniques in children with chemical burns of the esophagus with various etiology and generalization of our own experience of treatment in this contingent of patients.Material and methods. We have analyzed treatment techniques in 147 children with CBE with various etiology and severity for last decade. The general method of diagnosis was esophagogastroscopy 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 were observed out-patiently according to the place of residence.Conclusions. Performed therapy should be complex and differentiated regarding 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 refularly. 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.https://www.innovmedkub.ru/jour/article/view/195chemical burn of esophaguschildrentreatment |
| spellingShingle | A. E. Stryukovsky V. A. Tarakanov V. M. Starchenko N. V. Pilipenko V. M. Nadgeriev A. Yu. Gritsenko E. A. Polyansky S. A. Sidorenko Treatment of children with chemical burns of esophagus with various etiology Инновационная медицина Кубани chemical burn of esophagus children treatment |
| title | Treatment of children with chemical burns of esophagus with various etiology |
| title_full | Treatment of children with chemical burns of esophagus with various etiology |
| title_fullStr | Treatment of children with chemical burns of esophagus with various etiology |
| title_full_unstemmed | Treatment of children with chemical burns of esophagus with various etiology |
| title_short | Treatment of children with chemical burns of esophagus with various etiology |
| title_sort | treatment of children with chemical burns of esophagus with various etiology |
| topic | chemical burn of esophagus children treatment |
| url | https://www.innovmedkub.ru/jour/article/view/195 |
| work_keys_str_mv | AT aestryukovsky treatmentofchildrenwithchemicalburnsofesophaguswithvariousetiology AT vatarakanov treatmentofchildrenwithchemicalburnsofesophaguswithvariousetiology AT vmstarchenko treatmentofchildrenwithchemicalburnsofesophaguswithvariousetiology AT nvpilipenko treatmentofchildrenwithchemicalburnsofesophaguswithvariousetiology AT vmnadgeriev treatmentofchildrenwithchemicalburnsofesophaguswithvariousetiology AT ayugritsenko treatmentofchildrenwithchemicalburnsofesophaguswithvariousetiology AT eapolyansky treatmentofchildrenwithchemicalburnsofesophaguswithvariousetiology AT sasidorenko treatmentofchildrenwithchemicalburnsofesophaguswithvariousetiology |