[Pneumatic dilatation of caustic esophageal stenosis in children. Report of five cases].
The ingestion of caustic substances is a frequent accident in the child. The treatment of caustic strictures of the esophagus, which constitute the most frightening complication, varies from conservative treatment to esophageal replacement. We report the preliminary results of a prospective work established since July 1998 and aimed at evaluating the role of pneumatic dilatation in the treatment of these injuries.


METHODS
The series included five boys with an average age of six years. Two children were neurologically handicapped.


RESULTS
The caustic product was soda (three cases), a dishwasher solution (one case) and bleach (one case). Dysphagia was constant and concerned the semi-fluids in four cases. The stricture was extended over an average length of 4 cm. The total number of dilatations was 36, with an average of seven sessions/patient. No complication was noted. The result was good in four cases. The only failure was noted in a child who presented a gastroesophageal reflux secondary to the scarring phenomena.


CONCLUSIONS
Pneumatic dilatation constitute a therapeutic mean whose results are attested. The best treatment remains, however, preventive: it is the setting out of reach of the child the dangerous products.
Mekki
M
M
Service de chirurgie pédiatrique, centre hospitalier universitaire Fattouma-Bourguiba, 5000 Monastir, Tunisie. Mongi.Mekki@fmm.rnu.tn
Said
M
M
Belghith
M
M
Krichène
I
I
Chelly
S
S
Jouini
R
R
Nouri
A
A
Gannouni
A
A
D002057:Burns, Chemical / Q000150:complications / Q000628:therapy*; D002424:Caustics / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D004106:Dilatation / Q000379:methods*; D004940:Esophageal Stenosis / Q000139:chemically induced* / Q000628:therapy*; D005260:Female; D005764:Gastroesophageal Reflux / Q000209:etiology; D006801:Humans; D008297:Male; D011446:Prospective Studies; D016896:Treatment Outcome
D002424:Caustics