RESULTS OF TREATMENT OF CHEMICAL BURNS AND POST-BURN STRICTURES OF THE ESOPHAGUS (CLINICAL CASES)
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Abstract
Chemical burn of the esophagus – local damage to the wall of the esophagus due to accidental or intentional ingestion of a chemical substance of cauterizing action through the mouth.
The cause of a chemical burn of the esophagus is accidental or intentional ingestion through the mouth of concentrated solutions of inorganic or organic acids, solutions of alkalis, as well as strong oxidants. Scar tissue that exists for a long time against the background of chronic esophagitis, constantly traumatized by saliva, food masses (with partial patency preserved) in a few years can lead to the development of dysplasia and eventually malignant degeneration (squamous cell carcinoma), the probability of development, which is more than 2 thousand times higher than among people who did not have a burn esophagus. In recent decades, the development of the endoscopic industry and technical equipment, the «gold standard» of conservative treatment of post-burn cicatricial strictures of the esophagus is bougie in various modifications. This article describes two rare clinical cases of esophageal burns with different outcomes.
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Chirica M, Kelly MD, Siboni S, Aiolfi A, Riva CG, Asti E, et al. Esophageal emergencies: WSES guidelines. World J Emerg Surg. 2019; 14: 26. DOI: 10.1186/s13017-019-0245-2
Bruzzi M, Chirica M, Resche-Rigon M, Corte H, Voron T, Sarfati E, et al. Emergency Computed Tomography Predicts Caustic Esophageal Stricture Formation. Ann Surg. 2019; 270(1): 109-114. DOI: 10.1097/SLA.0000000000002732
Cowan T, Foster R, Isbister GK. Acute esophageal injury and strictures following corrosive ingestions in a 27 year cohort. Am J Emerg Med. 2017; 35(3): 488-492. DOI: 10.1016/j.ajem.2016.12.002
Apykhtina NA, Elgina SI. Reproductive health of girls in the Kemerovo region. Reproductive health of children and adolescents. 2016; 2: 30-31. Russian (Апыхтина Н.А., Елгина С.И. Репродуктивное здоровье девочек Кемеровской области //Репродуктивное здоровье детей и подростков. 2016. № 2. С. 30-31)
De Lusong MAA, Timbol ABG, Tuazon DJS. Management of esophageal caustic injury. World J Gastrointest Pharmacol Ther. 2017; 8(2): 90-98. DOI: 10.4292/wjgpt.v8.i2.90
Methasate A, Lohsiriwat V. Role of endoscopy in caustic injury of the esophagus. World J Gastrointest Endosc. 2018; 10(10): 274-282. DOI: 10.4253/wjge.v10.i10.274
Sami SS, Haboubi HN, Ang Y, Boger P, Bhandari P, de Caestecker J, et al. UK guidelines on oesophageal dilatation in clinical practice. Gut. 2018; 67(6): 1000-1023. DOI: 10.1136/gutjnl-2017-315414
Rana SS, Sharma R, Gupta R. High-frequency miniprobe endoscopic ultrasonography for evaluation of indeterminate esophageal strictures. Ann Gastroenterol. 2018; 31(6): 680-684. DOI: 10.20524/aog.2018.0307
Elgina SI, Kondratova LA. Features of the course of pregnancy and the outcomes of childbirth in young women. Fundamental and clinical medicine. 2020; 5(2): 72-78. Russian (Елгина С.И., Кондратова Л.А. Особенности течения беременности и исходы родов у юных женщин //Фундаментальная и клиническая медицина. 2020. Т. 5, № 2. С. 72-78)
Ghiselli A, Bizzarri B, Ferrari D, Manzali E, Gaiani F, Fornaroli F, et al. Endoscopic dilation in pediatric esophageal strictures: a literature review. Acta Biomed. 2018; 89(8-S): 27-32. DOI: 10.23750/abm.v89i8-S.7862
Vermeulen BD, de Zwart M, Sijben J, Soons E, van der Weerd L, Arese D, et al. Risk factors and clinical outcomes of endoscopic dilation in benign esophageal strictures: a long-term follow-up study. Gastrointest Endosc. 2020; 91(5): 1058-1066. DOI: 10.1016/j.gie.2019.12.040
Abad MRA, Fujiyoshi Y, Inoue H. Flexible endoscopic strategies for the difficult esophageal stricture. Curr Opin Gastroenterol. 2020; 36(5): 379-384. DOI: 10.1097/MOG.0000000000000658
Balderas AB, Aceves MR, Ramírez PC, Rodríguez EG, Barriga Marín JA. Endoscopic findings of the digestive tract secondary to caustic ingestion in children seen at the Emergency Department. Arch Argent Pediatr. 2018; 116(6): 409-414. DOI: 10.5546/aap.2018.eng.409
Tandon S, Burnand KM, De Coppi P, McLaren CA, Roebuck DJ, Curry JI. Self-expanding esophageal stents for the management of benign refractory esophageal strictures in children: A systematic review and review of outcomes at a single center. J Pediatr Surg. 2019; 54(12): 2479-2486. DOI: 10.1016/j.jpedsurg.2019.08.041
Demidchik LA, Beynikova IV, Muravleva LE, Molotov-Luchanskiy VB, Bakirova RE, Klyuev DA, Utibaeva RA. Oxidized proteins in the blood of patients with acute acetic acid intoxication. International Journal of Applied and Basic Research. 2018; 5-1: 82-86. Russian (Демидчик Л.А., Бейникова И.В., Муравлёва Л.Е., Молотов-Лучанский В.Б., Бакирова Р.Е., Клюев Д.А., Утибаева Р.А. Окисленные белки в крови больных с острым отравлением уксусной кислотой //Международный журнал прикладных и фундаментальных исследований. 2018. № 5-1. С. 82-86)