RESULTS OF TREATMENT OF THE ESOPHAGUS CHEMICAL BURNS IN CHILDREN

Abstract

A retrospective analysis of 49 cases of the initial hospital admission on account of chemical burn of esophagus to the Children's City Hospital No. 1 during the period from 2011 to 2015 was carried out. Patients were divided into 2 groups depending on the chemical agent: group 1 of 25 children (48,9 %) with burns of the esophagus with 70% vinegar essence, and group 2 of 24 patients, in whom burns were caused by alkaline solutions of household chemicals. Statistically significant difference between groups was found in the bed-day: in group 1, the duration of stay was 29,9 ± 16,4 days, and in group 2 — 45,2 ± 27,6 days. And also in the number of bougienages: over the 1st year, in group 1 the median was 3 bougienages per year, with the maximum value — 21, minimum — 1; in group 2, the mediam was 7 bougienages per year, with the maximum value being 24, and the minimum — 2 procedures. Thus, chemical burns of the esophagus remain an urgent problem of childhood. The nature of the lesion and the time of rehabilitation depend on the chemical agent.