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CURRENT ISSUES OF REHABILITATION AND MEDICAL EXAMINATION OF CHILDREN WITH CHEMICAL BURNS THE ESOPHAGUS

Pelipenko Nikolay Vladimirovich  (Assistant of the Department of Surgical Diseases of Childhood at KubSMU)

Barova Natusya Kaplanovna  (PhD, Associate Professor, Head of the Department of Surgical Diseases of Childhood at KubSMU)

Stryukovskye Andrey Evgenievich  (PhD, Associate Professor of the Department of Surgical Diseases of Childhood at KubSMU)

Kolomytseva Lyudmila Nikolaevna  (KubSMU )

Eyvazov Zaur Sultanovich  (KubSMU )

Diagnosis, treatment, rehabilitation and medical examination of patients with chemical burns of the esophagus is still an urgent problem of pediatric surgery. This is due not only to the high incidence of the pathology- 1:14 000-15 000 people and a persistent tendency to further growth, but also to the constantly increasing number and quality of factors contributing to the development of chemical burns in the esophagus. The issues of rehabilitation and medical examination of this contingent of patients have not been fully resolved. We have experience in managing 389 people who admitted to the emergency room with suspected chemical burn of the esophagus. A directional diagnosis was excluded – in 163 children (41.19% of cases). The diagnosis of a chemical burn of the esophagus was verified – in 226 patients (58.09% of cases). Patients with grade 1 chemical burns the esophagus was treated using traditional methods, as a result of their rather high clinical efficacy. To confirm the expediency of using in practical healthcare of the developed methods of treatment, rehabilitation and 2 groups were formed for the medical examination of children with chemical burns of the esophagus patients of identical age and sex composition and nosology. The main group is 84 children. The treatment of the child was carried out according to the schemes developed in the clinic. Control – 88 children are treated using traditional methods. The duration of follow-up is up to 12 years. As a result of the use of the developed methods of treatment, palliative surgery and plastic surgery of the esophagus were not performed in the main group of patients. In the control group of patients, palliative surgery (gastrostomy) was performed in 19 patients (21.59% of cases). Conditionally conservative treatment was ineffective in 3 patients in the control group, which required plastic surgery of the esophagus. No cases of malignancy in the area of cicatricial strictures of the esophagus were diagnosed in the studied groups. These data will allow us to recommend the developed treatment, rehabilitation and medical examination regimen for a wide range of clinical applications.

Keywords:children, chemical burns of the esophagus, treatment, rehabilitation, medical examination

 

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Citation link:
Pelipenko N. V., Barova N. K., Stryukovskye A. E., Kolomytseva L. N., Eyvazov Z. S. CURRENT ISSUES OF REHABILITATION AND MEDICAL EXAMINATION OF CHILDREN WITH CHEMICAL BURNS THE ESOPHAGUS // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2025. -№04. -С. 237-241 DOI 10.37882/2223-2966.2025.04.32
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