Abstract:
Introduction. The acquired congenital abnormalities and pathologies of the esophagus in
children are an emergency with fatal potential, whose medical and surgical management and
prognosis depend on the early assessment of the risk of the patient's life. Recent studies report
that the etiology of these malformative and acquired diseases of the esophagus and multifactorial
complications are extremely complex and the lack of early diagnosis and appropriate treatment
leads to deaths in the associated complications.
Aim of the study. To present the curative vision surgical limits in the treatment of acquired
anomalies and pathologies of the esophagus in newborn, infant and child, based on basic
pathology and comorbidities in order to reduce complications and to improve the results of early
and later medical-surgical treatment.
Materials and methods. The investigative protocol includes: clinical-paraclinic anamnestic data
such as: radiography, ultrasound, EFGDS, Ph-metria, scintigraphy, CT, MRI and biochemical
markers in patients aged from 0 to 18 years.
Results. The results of the study were distinguished by approaching a new vision of research in
the field of esophagus anomalies and disorders in children, which allowed us to use these data in
the diagnostic and medical-surgical treatment.
Conclusions. The theoretical importance of this work is the elucidation of etiopathogenesis and
the evaluation of the anatomic-physiological, clinico-paraclinic features in the esophagus
abnormalities and diseases in children. The results obtained will be used and will be presented as
an informative basis in the process of developing the diagnostic algorithm and in estimating the
risk factors for newborns, infants and children in esophageal abnormalities and diseases.
Description:
Pediatric Surgery, Orthopedics and
Anesthesiology Department, Department of Topographic Anatomy and Operative
Surgery,
Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova