Department of Pediatric Surgery, Pediatric Hospital Center and University Charles de Gaulle, Ouagadougou, Burkina Faso.
Research Center of Hospital Center and University, Montréal, Canada.
Afr J Paediatr Surg. 2023 Apr-Jun;20(2):116-119. doi: 10.4103/ajps.ajps_101_21.
Oesophageal stricture is one of the most important and redoubtable complications following caustic ingestions in children. Instrumental dilatation is usually considered the first line of treatment.
This study aims to evaluate the outcomes of caustic stenosis treatment when using Lerut dilatators.
This is a descriptive retrospective study from May 2014 to April 2020. All children under 15 years hospitalised in our department for caustic oesophageal stricture and had a gastrostomy and oesophageal dilatation with insertion of an endless wire were included.
A total of 83 patients were included. The sex ratio was 2.2. The mean age was 4 years. The mean time from caustic ingestion to presentation was 90 days. Oesophageal stricture was mostly caused by caustic soda (n = 41) and potash (n = 15). We performed in total 469 dilatations and had only three oesophageal perforations. After a mean follow-up of 17 months, we had 60.2% good results (n = 50) and 7.2% (n = 6) failures. The mortality rate was 13.2% (n = 11).
The results of the dilations by Lerut dilatators give encouraging results in our department. It is easy to perform and its complications remain rare. Mortality could be reduced by adequate nutritional support.
食管狭窄是儿童腐蚀性摄入后最重要和最令人畏惧的并发症之一。器械扩张通常被认为是一线治疗方法。
本研究旨在评估使用 Lerut 扩张器治疗腐蚀性狭窄的效果。
这是一项描述性回顾性研究，时间为 2014 年 5 月至 2020 年 4 月。所有在我院因腐蚀性食管狭窄接受胃造口术和食管扩张并插入无结丝线的 15 岁以下儿童均被纳入研究。
共纳入 83 例患者。男女比例为 2.2。平均年龄为 4 岁。腐蚀性摄入至就诊的平均时间为 90 天。食管狭窄主要由苛性苏打（n = 41）和苛性钾（n = 15）引起。我们共进行了 469 次扩张，仅发生了 3 例食管穿孔。平均随访 17 个月后，我们有 60.2%（n = 50）的患者获得了良好的结果，7.2%（n = 6）的患者出现了失败。死亡率为 13.2%（n = 11）。
在我们科室，Lerut 扩张器的扩张效果令人鼓舞。操作简单，并发症仍然很少。充分的营养支持可以降低死亡率。
