RATIONAL CHOICE OF TACTICS OF CONSERVATIVE AND SURGICAL TREATMENT OF CHEMICAL ESOPHAGEAL BURNS IN CHILDREN
K. S. Ormantaev , K. T. Tursunov , S. A. Myrzakhmet , A. A. Sagymbayeva
Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care ›› 2016, Vol. 6 ›› Issue (3) : 35 -39.
RATIONAL CHOICE OF TACTICS OF CONSERVATIVE AND SURGICAL TREATMENT OF CHEMICAL ESOPHAGEAL BURNS IN CHILDREN
The frequency of basic chemical agents, clinical and diagnostic features and effectiveness of treatment of chemical burns of the esophagus were studied from 574 children in this article. The effectiveness of complex conservative treatment achieved in 516 (90%) cases. In 58 (10%) cases were performed probing program bougienage for string conductor, prolonged intubation of the esophagus were fitted in 15 children. Simultaneous retrosternal kolonoezofagoplastic with the creation of antireflux colonogastroanastomoz was performed in 5 children with total esophageal stenosis. Retrocolic gastroeyunoanastomoz was produced by the method after Ru in 2 cases, due to cicatricial pyloric stenosis gastric. Complications in the form of a fistula in the upper colonoezofagoanastomoz zone was observed in only one case.
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Ormantaev K.S., Tursunov K.T., Myrzakhmet S.A., Sagymbayeva A.A.
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