Surgical guideline for child’s combustion of esophagus

Abstract

Introduction. Esophageal combustion in children is still representing a potentially fatal emergency and whose medical – surgical management is related to the precocity of the etiological diagnosis, the accuracy of the general and local clinical examination, the judicious choice of complementary paraclinical examinations and treatment techniques. Esophageal lesions in children are the result of peroral ingestion of a chemical. Ingestion of a chemical is usually involuntary. In adult lesions occur mostly in the region of the oral cavity and larynx, while in children they largely affect the esophagus and even the stomach. In children under the age of 2, the intensity of the lesions is higher in the upper third of the esophagus, and in older children its lower third is mainly affected. The critical period is the age of 1-5 years, based on the psychoemotional peculiarities of the child. Clinical evolutionary complications record three periods: acute (2-14 days ), acalamia ( 1 – 2 months), chronic – onset of stenosis with ( dysphagia, regurgitation, denutrition). Aim of the study. Literature analysis of clinical and paraclinical peculiarities, complications and treatment of esophageal burns in children. Materials and methods. The specialized literature data on combustion in children were analyzed. Studies show that both diagnostic and treatment techniques in esophageal lesions require knowledge on correlations among tissues, organs, and cellular spaces.Results. The results of the clinical and paraclinical study will contribute to increase safety in approaching diagnostic and treatment techniques. Conclusions. Knowledge on esophageal combustion from a clinical point of view is very important in view of ensuring the safety and comfort of the patient. The practical value of the correlation between organs and tissues of the given region shows increased interest within the clinic.