title: [Endoscopic contribution in the dilatation of caustic esophagus stenosis].
abstract: BACKGROUND
  The aim of this work was to present the contribution of the endoscopy in the management of esophageal dilatation for caustic esophageal stenosis (CES).
  
  
  METHODS
  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.
  
  
  RESULTS
  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).
  
  
  CONCLUSIONS
  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.
authors.affiliation: Service de Chirurgie Thoracique, Hôpital du Mali, Bamako, Mali.
authors.forename: Togo
authors.initials: T
authors.lastname: Seydou
authors.affiliation: Service de Chirurgie Thoracique, Hôpital du Mali, Bamako, Mali.
authors.forename: Ouattara Moussa
authors.initials: OM
authors.lastname: Abdoulaye
authors.affiliation: 23 Mission Médicale Chinoise, Hôpital du Mali, Bamako, Mali.
authors.forename: Li
authors.initials: L
authors.lastname: Xing
authors.affiliation: Service de Chirurgie « A » CHU du Point G, Bamako, Mali.
authors.forename: Sanogo Zimogo
authors.initials: SZ
authors.lastname: Zi
authors.affiliation: Service de Chirurgie « A » CHU du Point G, Bamako, Mali.
authors.forename: Koumaré
authors.initials: K
authors.lastname: Sekou
authors.affiliation: 23 Mission Médicale Chinoise, Hôpital du Mali, Bamako, Mali.
authors.forename: Yang Shang
authors.initials: YS
authors.lastname: Wen
authors.affiliation: Service de Chirurgie Thoracique, Hôpital du Mali, Bamako, Mali.
authors.forename: Sankare
authors.initials: S
authors.lastname: Ibrahim
authors.affiliation: Service de Chirurgie Thoracique, Hôpital du Mali, Bamako, Mali.
authors.forename: Toure Cheik Ahmed
authors.initials: TC
authors.lastname: Sekou
authors.affiliation: Service de Chirurgie Thoracique, Hôpital du Mali, Bamako, Mali.
authors.forename: Maiga Ibrahim
authors.initials: MI
authors.lastname: Boubacar
authors.affiliation: Service de Chirurgie Thoracique, Hôpital du Mali, Bamako, Mali.
authors.forename: Jacque
authors.initials: J
authors.lastname: Saye
authors.affiliation: Service de Chirurgie Thoracique, Hôpital du Mali, Bamako, Mali.
authors.forename: Dakouo Dodino
authors.initials: DD
authors.lastname: Jerome
authors.affiliation: Service de Santé Publique et de Statistique Hôpital du Mali, Bamako, Mali.
authors.forename: Toure Ousmane
authors.initials: TO
authors.lastname: Dantoumé
authors.affiliation: Service de Chirurgie Thoracique, Hôpital du Mali, Bamako, Mali.
authors.forename: Yena
authors.initials: Y
authors.lastname: Sadio
mesh_terms: D000293:Adolescent; D002057:Burns, Chemical / Q000473:pathology / Q000628:therapy*; D002424:Caustics / Q000633:toxicity; D002648:Child; D004106:Dilatation / Q000379:methods; D004940:Esophageal Stenosis / Q000473:pathology / Q000628:therapy*; D004945:Esophagoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007828:Laryngoscopy / Q000379:methods; D008297:Male; D008302:Mali; D011446:Prospective Studies; D020535:Video-Assisted Surgery / Q000379:methods; D055815:Young Adult
chemical_list: D002424:Caustics
keywords: Esophagus; caustic stenosis; dilatation; endoscopic