POSSIBILITIES FOR LOCAL TREATMENT OF CHEMICAL BURNS OF THE ESOPHAGUS IN CHILDREN IN EARLY TERMS

The purpose of the study is to develop a method for treating children with chemical burns of the esophagus in the early stages of the disease.

Material and research methods. Comprehensive clinical diagnostic examination and treatment of 64 children with chemical burns of the esophagus in the department of pediatric thoracoabdominal surgery of the State Institution Health Complex “Istiklol”.

Research results and discussion. All patients with chemical burns of the esophagus were divided into two groups. The first (control) included 35 (54.7%) patients who received well-known traditional treatment. In the second (main) group - 29 (45.3%) children with chemical burns of the esophagus who, against the background of traditional therapy, received local treatment of the esophagus of II and III severity using the EasyCat catheter. The children’s ages ranged from 1 to 14 years. The most common cause of esophageal burn was: vinegar essence - 48 (75%) and alkali (caustic soda and Kazan) in 16 (25%) children.

We have introduced an improved method of treating the esophagus with chemical burns of the esophagus using a special multifunctional silicone catheter “EasyCat”. This method makes it possible to effectively wash and simultaneously remove chemical particles lying in the pores of the mucous membrane of the esophagus, which not only has a therapeutic effect, but also prevents the resorption of the chemical substance. The criteria for the effectiveness of treatment were determined by the level of leukocyte intoxication index, the duration of the patient’s stay in the hospital and the presence of a scar process in the esophagus.

Conclusions. The development of a method for treating children with chemical burns of the esophagus using the multifunctional silicone catheter “EasyCat” has shown high efficiency in the algorithm for providing early medical care to children with a chemical burn of the esophagus. Local treatment with the «EasyKat» catheter allows to reduce the degree of intoxication and inflammatory reaction in the tissues of the esophagus, and thereby reduces the length of the patient’s hospital stay, reduces the risk of severe cicatricial stenosis of the esophagus to 10.3% compared to the control group (20.0%) and obtain a pronounced economic effect in children with chemical burns of the esophagus.

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