Endoscopic contribution in the dilatation of caustic esophagus stenosis

The aim of this work was to present the contribution of the endoscopy in the management of esophageal dilatation for caustic esophageal stenosis (CES). This was a descriptive and prospective study in the thoracic surgery department at the Hospital of Mali. A total of 46 cases of CES is recorded and...

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Bibliographic Details
Published in:The Pan African medical journal 2016, Vol.23, p.24
Main Authors: Seydou, Togo, Abdoulaye, Ouattara Moussa, Xing, Li, Zi, Sanogo Zimogo, Sekou, Koumaré, Wen, Yang Shang, Ibrahim, Sankare, Sekou, Toure Cheik Ahmed, Boubacar, Maiga Ibrahim, Saye, Jacque, Jerome, Dakouo Dodino, Dantoumé, Toure Ousmane, Sadio, Yena
Format: Article
Language:fre
Subjects:
Adolescent
Burns, Chemical - pathology
Burns, Chemical - therapy
Caustics - toxicity
Child
Dilatation - methods
Esophageal Stenosis - pathology
Esophageal Stenosis - therapy
Esophagoscopy - methods
Female
Humans
Laryngoscopy - methods
Male
Mali
Prospective Studies
Video-Assisted Surgery - methods
Young Adult
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Summary:The aim of this work was to present the contribution of the endoscopy in the management of esophageal dilatation for caustic esophageal stenosis (CES). This was a descriptive and prospective study in the thoracic surgery department at the Hospital of Mali. A total of 46 cases of CES is recorded and divided into 4 groups according to the topography of the esophageal lesions. For the different methods of dilatation the number of performed endoscopic support was determined to understand the contribution of endoscopic means in the success of dilatation for CES. The outcome, complications and mortality in the two methods were compared. Fibroscopy was used in 41.30% of patients with Savary Guillard dilators and in 47.82% of patients with Lerut dilators. Video laryngoscopy was used in 58.69% of patients who underwent dilatation with Lerut dilators. The passage of the guide wire was performed in 39.13% under video laryngoscopy and 58.68% under fibroscopy. In comparison of the two methods, there is a significant difference in the occurrence of complications (p=0.04075), general anesthesia (p=0.02287), accessibility (p=0.04805) and mortality (p=0.00402). The CES is a serious disease and under evaluated in Mali. The endoscopies contribute significantly to the success of esophageal dilatation for caustic stenosis in the different methods we used.
ISSN:1937-8688
DOI:10.11604/pamj.2016.23.24.8506