...
首页> 外文期刊>Open Journal of Gastroenterology >Caustic Esophageal Stenosis: Epidemiological, Clinical, Endoscopic and Therapeutic Aspects at the Gabriel Touré University Hospital in Bamako
【24h】

Caustic Esophageal Stenosis: Epidemiological, Clinical, Endoscopic and Therapeutic Aspects at the Gabriel Touré University Hospital in Bamako

机译:腐蚀性食管狭窄:加布里埃尔巡回演出的流行病学,临床,内窥镜和治疗方面;#233; 巴马科大学医院

获取原文
           

摘要

Voluntary or accidental ingestion of a caustic product is increasingly en countered in our count ry . Caustic esophageal stenosis is the most common sequel. Its treatment involves instrumental dilation and/or surgery which is particularly heavy. The aim of this study was to study the epidemiological, clinical and therapeutic aspects of caustic esophageal strictures in our context. The retrospective study took place from December 2013 to December 2017 in the Hepato-Gastroenterology department of the Gabriel Touré university hospital in Bamako. We included patients with caustic esophageal stenosis referred to the gastrointestinal endoscopy unit for dilation. 67 patients admitted for caustic stenosis were included. The mean age of our patients was 20.76 ± 19.9 years with extremes of 1 and 70 years and a sex ratio of 1.9. In 50.7% of cases, the product ingested was basic in nature. The clinical symptomatology was dominated by dysphagia (100%), vomiting (100%), the emaciated (60%) and cough (40%). In 59 (88%) patients , the stenosis was unique and multiple in 8 (12%). The KILLIAN mouth as the sole site of the stenosis was found in 40.3% of patients. The number of sessions was ≤ 3 in 16.4% and > 3 in 83.6% with a mean of 4.59 ± 1.57 sessions. The evolution was favorable in 95.5% of our patients. However , we recorded three ( 3 ) cases of death all following a perforation. Conclusion: Caustic esophageal stenosis, a consequence of ingestion of caustics, is increasingly observed in our context. Endoscopic dilation occupies an important place in its management.
机译:在我们的数量Ry中越来越多地反击苛性产物的自愿或意外摄入。腐蚀性食管狭窄是最常见的续集。其治疗涉及乐曲扩张和/或手术,特别重重。本研究的目的是在我们的背景下研究腐蚀性食管狭窄的流行病学,临床和治疗方面。回顾性研究于2013年12月至2017年12月在巴马科加布里埃尔Touré大学医院的Hepato-Gastreentology系。我们包括腐蚀性食管狭窄患者,提到胃肠内窥镜检查单元进行扩张。包括烧碱狭窄的67名患者。我们患者的平均年龄为20.76±19.9岁,极端为1和70岁,性别比例为1.9。在50.7%的病例中,摄入的产品本质上是基本的。临床症状由吞咽症(100%),呕吐(100%),吞咽(60%)和咳嗽(40%)。在59例(88%)患者中,狭窄是独特的,8个(12%)。杀戮嘴作为狭窄的唯一部位被发现是40.3%的患者。每届偏差≤16分,> 3分83.6%,平均为4.59±1.57季节。 95.5%的患者中的进化是有利的。然而,我们在穿孔后记录了三(3)例死亡。 结论:苛性食管狭窄,在我们的背景下越来越多地观察到苛性耐热性的结果。内窥镜扩张占据其管理层的重要位置。

著录项

相似文献

  • 外文文献
  • 中文文献
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号