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.

химический ожог пищевода, консервативное лечение, послеожоговый рубцовый стеноз пищевода, программное бужирование, интубация пищевода, колоноэзафагопластика, позадиободочный гастроеюноанастомоз по Ру, chemical burns of the esophagus, conservative treatment, post-burn cicatricial stenosis of the esophagus, program bougienage, intubation of the esophagus, colonoezafagoplastic, retrocolic gastroeyunoanastomoz after Ru