Seydou Togo, Abdoulaye Ouattara Moussa, Xing Li, Zi Sanogo Zimogo, Sekou Koumaré, Wen Yang Shang, Ibrahim Sankare, Sekou Toure Cheik Ahmed, Boubacar Maiga Ibrahim, Saye Jacque, Jerome Dakouo Dodino, Dantoumé Toure Ousmane, Sadio Yena
Service de Chirurgie Thoracique, Hôpital du Mali, Bamako, Mali.
23 Mission Médicale Chinoise, Hôpital du Mali, Bamako, Mali.
Pan Afr Med J. 2016 Feb 3;23:24. doi: 10.11604/pamj.2016.23.24.8506. eCollection 2016.
The aim of this work was to present the contribution of the endoscopy in the management of esophageal dilatation for caustic esophageal stenosis (CES).
This was a descriptive and prospective study in the thoracic surgery department at the Hospital of Mali. A total of 46 cases of CES is recorded and divided into 4 groups according to the topography of the esophageal lesions. For the different methods of dilatation the number of performed endoscopic support was determined to understand the contribution of endoscopic means in the success of dilatation for CES. The outcome, complications and mortality in the two methods were compared.
Fibroscopy was used in 41.30% of patients with Savary Guillard dilators and in 47.82% of patients with Lerut dilators. Video laryngoscopy was used in 58.69% of patients who underwent dilatation with Lerut dilators. The passage of the guide wire was performed in 39.13% under video laryngoscopy and 58.68% under fibroscopy. In comparison of the two methods, there is a significant difference in the occurrence of complications (p=0.04075), general anesthesia (p=0.02287), accessibility (p=0.04805) and mortality (p=0.00402).
The CES is a serious disease and under evaluated in Mali. The endoscopies contribute significantly to the success of esophageal dilatation for caustic stenosis in the different methods we used.
本研究旨在阐述内镜检查在腐蚀性食管狭窄（CES）食管扩张治疗中的作用。
这是一项在马里医院胸外科进行的描述性前瞻性研究。共记录了46例CES病例，并根据食管病变部位分为4组。针对不同的扩张方法，确定内镜辅助操作的次数，以了解内镜手段对CES扩张成功的作用。比较两种方法的疗效、并发症及死亡率。
41.30%使用Savary Guillard扩张器的患者和47.82%使用Lerut扩张器的患者采用了纤维内镜检查。58.69%接受Lerut扩张器扩张的患者使用了视频喉镜检查。在视频喉镜检查下，39.13%的患者进行了导丝置入，在纤维内镜检查下为58.68%。比较两种方法，并发症发生率（p = 0.04075）、全身麻醉（p = 0.02287）、可及性（p = 0.04805）和死亡率（p = 0.00402）存在显著差异。
CES是一种严重疾病，在马里未得到充分评估。我们使用的不同方法中，内镜检查对腐蚀性狭窄食管扩张的成功有显著贡献。
