Laser recanalization in complex treatment of esophageal strictures of various etiology in children (from practical experience)
https://doi.org/10.37895/2071-8004-2018-22-2-36-38
Abstract
Purpose. To show effectiveness of laser technologies in the complex treatment of esophageal strictures of various etiology in children. Material and methods. 60 children aged 1–16 with esophageal pathology of various genesis were in the study. 24 out of them had esophageal strictures after chemical burns. Degree and extension of strictures were diagnosed with X-ray and endoscopic examinations. To cut esophageal strictures and vaporize mucous, a neodymium laser was used. Results. Two children had short strictures in the esophagus after chemical combustion . They were treated only by laser recanalization with good effect. 4 patients had severe burns; dilation and laser recanalization of the esophagus were useless in them. Therefore, reconstructive surgeries were made. In other patients, treatment lasted longer and with temporary effect. Later, reconstructive surgeries were made in 10 cases, while 8 patients had only medicamentous treatment and mechanical dilatation of strictures. Laser recanalization, including dissection of strictures and vaporization of granulations, extends physicians’ options to treat post-burn strictures in children.
About the Authors
A. N. Varanetsky
УО «Белорусский государственный медицинский университет».
Belarus
Belarus
I. G. Lyandres
ГУО «Белорусская медицинская академия последипломного образования».
Belarus
Belarus
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Review
For citations:
Varanetsky A.N., Lyandres I.G. Laser recanalization in complex treatment of esophageal strictures of various etiology in children (from practical experience). Laser Medicine. 2018;22(2):36-38. (In Russ.) https://doi.org/10.37895/2071-8004-2018-22-2-36-38
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