Stenting the cutter tension after chemical burn in children: a review of literature and own experience

Abstract

For citation: Averin VI, Rustamov VM. (2019). Stenting the cutter tension after chemical burn in children: a review of literature and own experience. Paediatric surgery.Ukraine. 3(64): 28-36. doi 10.15574/PS.2019.64.28
Article received: Mar 20, 2019. Accepted for publication: Sep 01, 2019.
Chemical burns of the esophagus is one of the most common types of injuries of the esophagus throughout the world, especially in developing countries, in the age group 3–6 years. It is known that accidental ingestion of even one gulp of a concentrated corrosive substance in the long-term period can lead to severe cicatricial damage to the esophagus, and the primary disability rate for the above reason in people under 18 years of age varies by about 0.5 per 10 thousand people.
Objective: to analyze the review of foreign literature in recent years on chemical burns of the esophagus in children. When considering treatment, most attention is paid to esophageal stenting. To evaluate the effectiveness of the method of stenting of the esophagus with biodegradable stents in the early and distant periods of application of these stents in our clinic.
Materials and methods. In our clinic, there were 13 patients (10 boys and 3 girls) with scar post-burn strictures of the esophagus, who were implanted with 16 ELLA-CS biodegradable stents (one child three times, one time). The most frequently (61.5%) biodegradable stent was installed in children in the age range of 3–5 years, much less frequently (15.4%) – 6-8 years. The average age of patients at the time of stent implantation was 5.5 years.
Results. Analysis of the data showed that in all children in the immediate period of application of the stenting method 1 month), a good result was obtained, namely: the condition of the patients was satisfactory, vomiting, dysphagia and pain were absent. In X-ray monitoring, moderate narrowing of the esophagus was determined in one patient (6.3%) due to stent migration. Perforation of the esophagus and its attendant consequences was not observed a single patient, even with repeated stenting. Thus, the effectiveness of the stenting method in the early period of use 1 month) was 87.5%.
Conclusion. The method of stenting of the esophagus allows you to restore the patency of the esophagus in the stricture zone and to maintain the effective lumen of the esophagus through the use of esophageal, biodegradable, self-expanding stent.
The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of institution. The informed consent of the patient was obtained for conducting the studies.
Conflict of Interest: No conflict of interest was declared by the authors.