ABSTRACT
Endoscopic sclerosing of the varicose esophageal veins under the general anesthesy was conducted in 151 children aged from 4 mo to 14 years, 70 of them operated on before; while the hemorrhage continues--in 11, after the hemorrhage ending. Procedure was redone in 1 week. While the control esophagoscopy in 1 year after endoscopic sclerosing the vein obliteration was revealed in 17 children.
Subject(s)
Esophagus/blood supply , Esophagus/surgery , Hypertension, Portal/therapy , Sclerotherapy/methods , Varicose Veins/therapy , Adolescent , Child , Child, Preschool , Esophagoscopy/methods , Gastrointestinal Hemorrhage/diagnosis , Humans , Hypertension, Portal/diagnosis , Infant , Postoperative Complications/diagnosis , Sclerosing Solutions , Time Factors , Varicose Veins/diagnosisSubject(s)
Abdominal Injuries/surgery , Hemobilia/surgery , Multiple Trauma/surgery , Wounds, Nonpenetrating/surgery , Abdominal Injuries/complications , Accidents, Traffic , Child , Emergencies , Hemobilia/etiology , Humans , Male , Multiple Trauma/complications , Reoperation , Time Factors , Wounds, Nonpenetrating/complicationsABSTRACT
Twenty-eight children were treated in the clinic for acute gastro-esophageal bleeding in portal hypertension syndrome. Conservative therapy has proved to be effective in 85.8% of cases. Endoscopic sclerotherapy was successfully used in 9 of the 11 patients. In ineffective conservative treatment for 24-48 hrs from the onset of bleeding, the authors consider suturing the esophago-gastric junction with ligation of the gastric vein and blocking the arterial splenic blood flow as an operation of choice.
Subject(s)
Esophageal and Gastric Varices/therapy , Gastrointestinal Hemorrhage/therapy , Hypertension, Portal/therapy , Acute Disease , Adolescent , Child , Child, Preschool , Combined Modality Therapy , Esophageal and Gastric Varices/diagnosis , Gastrointestinal Hemorrhage/diagnosis , Hemostatic Techniques , Humans , Hypertension, Portal/diagnosis , Preoperative Care/methods , SyndromeABSTRACT
On the basis of the experience with treatment of esophageal atresia in 86 patients, it was established that cicatricial stenosis of the esophagus after radical correction of a defect occurs as a consequence of anastomotic suture failure, violation of the technique of placing an anastomosis, gastro-esophageal reflux. The recommendations on prevention and treatment of cicatricial esophageal stenosis are given.
Subject(s)
Cicatrix/prevention & control , Esophageal Atresia/surgery , Esophageal Stenosis/prevention & control , Postoperative Complications/prevention & control , Cicatrix/therapy , Combined Modality Therapy , Dilatation , Esophageal Atresia/complications , Esophageal Stenosis/therapy , Esophagoscopy , Humans , Infant , Postoperative Complications/therapy , RecurrenceABSTRACT
The article shows the results of diagnosis and treatment of achalasia of the esophagus in 21 children aged from 20 months to 15 years. Radiological examination with the use of the nitroglycerin test was highly informative and authentic in all cases. To evaluate the condition of the esophagus, additional endoscopic and esophagomanometric examination is necessary. From analysis of the results of drug therapy in all patients, operative in 13, and pneumocardiodilatation in 7 children it was found that treatment of achalasia of the esophagus in children should begin with forced pneumodilatation. Modified Heller's operation with fundoplication produces good results.
