Analysis of Methods for the Prevention and Treatment of Esophageal Stenosis after Chemical Burns in Children

2024

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DOI 10.52889/1684-9280-2024-1-71-56-64
Достоверность данных 70 средняя
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Аннотация

Chemical burns occupy the leading position of esophageal injuries in children, which has seen an increase in their number in recent years. Due to the rapid development of modern technologies, every year more and more new chemicals, industrial reagents and an increase in the need for their use in people's daily lives have an impact on the increase in morbidity. We set a goal to study the best methods in the world for the prevention and treatment of scabs after chemical burns in children using an information search for literary data.The severity of the disease can range from the absence of damage to the mucous membrane to complications such as severe burns, strictures and perforation. Despite the large number of different methods of treating this pathology, their results do not fully satisfy pediatric surgeons. The frequency of occurrence of the most common complication - narrowing of the esophagus as a result of scarring is more than 30%. Depending on the severity of exposure to a toxic substance, in some cases the outcome of the disease ends well, otherwise it can lead to death or, 23-30 years after injury, also to the development of a tumor-like process. To date, long-term and not always effective treatment has been carried out for children with burns of the esophagus, methods of preventing post-burn stenosis do not completely exclude a formidable complication - perforation of the esophagus. After all, conservative treatment is the only way to preserve the anatomically natural position of the esophagus, avoiding surgical treatment, which is an important factor for a growing child's body.Keywords: chemical burn, esophagus, conservative treatment.