A comparative characteristics of bougienage techniques in children with cicatricial stenoses of the esophagus



Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

   Introduction. The incidence of cicatricial esophageal stenoses in children after severe chemical burns is quite high. Bougienage is a preferred modality in cicatricial stenoses of the esophagus. The new technique of esophageal bougienage which is thought to be the most safe and effective is dilatation with a wire guide.
   Purpose. To compare management of children with cicatricial esophageal narrowings using various dilatation techniques.
   Material and methods. 481 patients with chemical burns of the esophagus were treated at the department of pediatric surgery in Abualiibni Sino Tajik State Medical University (Dushanbe). 236 (49 %) children had burns of degree I; 124 (25.8 %) – of degree II; 121 (25.2 %) – of degree III. Cicatricial narrowings in the esophagus in children are mostly of degree III; that is why such pathology was chosen as the object of the study. Patients were divided into two groups depending on the bougienage technique. The control group included 68 (56.2 %) patients: 47 (38.8 %) of them had “blind” bougienage; 21 (17.4 %) – “thread” bougienage. In 53 (43.8 %) patients from the studied group, bougienage of the esophagus was made with a guided bougie.
   Results. 78 patients in whom cicatricial stenoses developed after tissue damage with the vinegar essence were admitted to the hospital. 28 (36.8 %) of them – one month and more after the injury. 4 children from the control group and 2 children from the studied group had esophageal perforation as a complication of esophageal dilatation. These patients had extended and subtotal cicatricial stenoses. 3 other patients developed cicatricial stenoses after accidental swallowing of batteries; one had thread bougienage after gastrostomy, and the other two had wire-guided bougienage. Two children had burn lesions caused by unknown reagent with the subsequent formation of cicatricial stenosis of the organ; they had thread and wire-guided bougienage. In the first case, outcome was successful; in the second one – not, because of extended stenosis.
   Conclusion. The technique of wire-guided bougienage has been proven to be effective.

About the authors

A. M. Sharipov

Abualiibni Sino Tajik State Medical University; National Medical Center “Shifobakhsh”

Author for correspondence.
Email: aslam72@list.ru
ORCID iD: 0000-0002-3534-9208

734003

734026

eLibrary SPIN: 3072-5037

Dushanbe

Таджикистан

B. Kh. Yusupov

National Medical Center “Shifobakhsh”

Email: fake@neicon.ru

734026

Таджикистан

R. A. Rakhmatova

Abualiibni Sino Tajik State Medical University

Email: fake@neicon.ru

734003

Dushanbe

Таджикистан

S. A. Mazabshoev

Abualiibni Sino Tajik State Medical University; National Medical Center “Shifobakhsh”

Email: fake@neicon.ru
ORCID iD: 0000-0002-9346-0764

734003

734026

Dushanbe

Таджикистан

Yu. T. Dodochonov

Abualiibni Sino Tajik State Medical University; National Medical Center “Shifobakhsh”

Email: fake@neicon.ru

734003

734026

Dushanbe

Таджикистан

References

  1. Алексеенко С. И. Роль эндоскопической ультрасонографии в диагностике и лечении детей с химическими ожогами пищевода / С. И. Алексеенко [и др.] // Эндоскопическая хирургия. – 2006. – 2: 10–1. – Alekseenko S. I., Bairov V. G., Shchebenkov M. V., Salakhov E. S., Ryzhykh V. A., Nazhiganov O. N. The role of endoscopic ultrasonography in the diagnosis and treatment of children with chemical burns of the esophagus. Endoscopiceskaya khirurgiya. 2006; 2: 10–1. (in Russian)
  2. Баиров В. Г. Эндоскопическая ультрасонография в лечении детей с химическим ожогом пищевода / В. Г. Баиров [и др.] // Детская хирургия. – 2006. – 6: 4–6. – Bairov V. G., Shchebenkov M. V., Alekseenko S. I, Salakhov E. S., Ryzhykh V. A., Orlov A. E., Shchegoleva N. A., Khabib A. R. Endoscopic ultrasonography in the treatment of children with chemical burns of the esophagus. Detskaya khirurgiya. 2006; 6: 4–6. (in Russian)
  3. Бочарников Е. С. Оказание медицинской помощи детям с химическими ожогами и их последствиями / Е. С. Бочарников [и др.] // Российский вестник детской хирургии анестезиологии и реаниматологии. – 2011. – 1: 48–50. – Bocharnikov E. S., Ponomarev V. I., Shevchuk V. I., Romanchuk O. V. Providing medical care to children with chemical burns and their consequences. Rossijskij vestnik detskoj khirurgii, anesteziologii i reanimatologii. 2011; 1: 48–50. (in Russian)
  4. Ормантаев К. С. Рациональный выбор тактики консервативного и хирургического лечения химических ожогов пищевода у детей / К, С. Ормантаев [и др.] // Российский вестник детской хирургии анестезиологии и реаниматологии. – 2016. – VI (3): 35–9. – Ormantaev K. S., Tursunov K. T., Myrzakhmet S. A., Sagimbaeva A. A. Rational choice of tactics for conservative and surgical treatment of chemical burns of the esophagus in children. Rossijskij vestnik detskoj khirurgii, anesteziologii i reanimatologii. 2016; VI (3): 35–9. (in Russian)
  5. Разумовский А. Ю. Лечение химических ожогов пищевода у детей / А. Ю. Разумовский [и др.] // Хирургия. – 2012: 1: 43–8. – Razumovskiy A. Yu., Geraskin A. V., Obydennova R. V., Kulikova N. V. Treatment of chemical burns of the esophagus in children. Khirurgiya. 2012; 1: 43–8. (in Russian)
  6. Шамсиев А. М. Лечение ожогов пищевода и их осложнений у детей / А. М. Шамсиев [и др.] // Российский вестник детской хирургии анестезиологии и реаниматологии. – 2011. – 1: 60–4. – Shamsiev A. M., Atakulov D. O., Bazarov B. B., Suvankulov U. T. Treatment of burns of the esophagus and their complications in children. Rossijskij vestnik detskoj khirurgii, anesteziologii i reanimatologii. 2011; 1: 60–4. (in Russian)
  7. Воронецкий А. Н. Эндоскопия в лечении детей со стриктурой после химического ожога / А. Н. Воронецкий // Эндоскопическая хирургия. – 2018. – 3: 33–7. https://doi.org/10.17116/endoskop201824333 – Voronetsky A. N. Endoscopy in the treatment of children with stricture after chemical burn. Endoskopicheskaya khirurgiya. 2018; 3: 33–7. https://doi.org/10.17116/endoskop201824333 (in Russian)
  8. Кожевников В. А. Сравнительная оценка лечения химических ожогов пищевода у детей жирогормональной смесью и лекарственной смесью на основе полимера ретенкура / В. А. Кожевников [и др.] // Детская хирургия. – 2008. – 1: 4–7. – Kozhevnikov V. A., Polukhin D. G., Lepilova A. V., Smirnov A. K. Comparative evaluation of the treatment of chemical burns of the esophagus in children with a hormonal fat mixture and a medicinal mixture based on the retencourt polymer. Detskaya khirurgiya. 2008; 1: 4–7. (in Russian)
  9. Huang Y. С., Hi Y. H., Lay H. S., Chang M. H. Corrosive esophagitis in children. Paediatric Surgery. 2004; 20: 207–10.
  10. Lamireau T., Rebouissoux L., Denis D., et al. Accidental caustic ingestion in children: Is endoscopy always mandatory? Ped. Gastroenterol. Nutr. 2001; 33: 81–4. (in Russian)
  11. Батаев С. М. Качество жизни пациентов после колоэзофагопластики, выполненной в детском возрасте / С. М. Батаев [и др.] // Хирургия. – 2002. – 5: 48–54. – Bataev S. M., Razumovskiy A. Yu., Stepanov E. A., Zakharov A. I. Quality of life of patients after coloesophagoplasty performed in childhood. Khirurgiya. 2002; 5: 48–54. (in Russsian)
  12. Разумовский А. Ю. Пластика глотки и пищевода у детей. Эволюция методов / А. Ю. Разумовский [и др.] // Российский вестник детской хирургии, анестезиологии и реаниматологии. – 2011. – 1: 13–24. – Razumovsky A. Yu., Geraskin A. V., Bataev S. M., Alkhasov A. B., Rachkov V. E., Mitupov Z. B. Plastic surgery of the pharynx and esophagus in children. Evolution of methods. Rossijskij vestnik detskoj khirurgii, anesteziologii i reanimatologii. 2011; 1: 13–24. (in Russian)
  13. Разумовский А. Ю. Пластика пищевода желудком или колоэзофагопластика у детей? Сравнительный анализ результатов лечения / А. Ю. Разумовский [и др.] // Российский вестник детской хирургии, анестезиологии и реаниматологии. – 2018. – 8 (4): 4: 22–33. – Razumovsky A. Yu., Alkhasov A. B., Bataev S. M., Chumakova G. Yu., Zadvernyuk A. S. Plastic surgery of the esophagus with the stomach or colon esophagoplasty in children. Comparative analysis of the results of treatment. Rossijskij vestnik detskoj khirurgii, anesteziologii i reanimatologii. 2018; 8 (4): 22–33. (in Russian)
  14. Kamijo, Y. Kondo I., Soma K. Alkaline Esophagitis Evaluated by Endoscopic Ultrasound. Clinical Toxicology. 2001; 36 (6): 623–5. (in Russian)

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c)

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies