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[Treatment of peptic esophageal stricture in children]

D Iu Kryvchenia, O H Dubrovin

    Klinichna Khirurhiia
    |October 16, 2002
    PubMed

    Insights

    This study analyzed 24 children with peptic esophageal stricture. The modified Collis operation with Nissen fundoplication is a recommended treatment for rigid strictures in children.

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Esophageal Diseases

    Background:

    • Peptic esophageal stricture affects children, impairing esophageal function.
    • Treatment requires restoring esophageal patency and preventing gastric reflux.
    • Complications like hypotrophy and bronchopulmonary issues need correction before definitive surgery.

    Purpose of the Study:

    • To analyze the treatment outcomes for children with peptic esophageal stricture.
    • To evaluate the efficacy of surgical interventions for rigid strictures.
    • To identify pathogenetically substantiated methods for managing pediatric peptic esophageal stricture.

    Main Methods:

    • Analysis of treatment results in 24 pediatric patients.
    • Surgical intervention involving restoration of esophageal passability.
    • Application of modified Collis operation with Nissen fundoplication for rigid strictures.

    Main Results:

    • The modified Collis operation with Nissen fundoplication was applied to children with rigid peptic esophageal stricture.
    • This surgical approach addresses esophageal patency and reflux prevention.
    • The study focused on children requiring operative intervention after initial esophageal passability restoration.

    Conclusions:

    • The modified Collis operation combined with Nissen fundoplication is a pathogenetically substantiated treatment for rigid peptic esophageal stricture in children.
    • Restoring esophageal passability and correcting complications are crucial steps before surgical intervention.
    • This method effectively manages the pathological action of gastric contents on the esophageal mucosa.

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