CLINICAL CASE OF SUCCESSFUL TREATMENT OF ESOPHAGEAL PERFORATION IN A 1.5 YEARS OLD PEDIATRIC PATIENT WITH POST-BURN STENOSIS

Treatment of deep chemical burns of the esophagus in children remains an urgent problem. The formation of pronounced cicatricial strictures leads to a significant narrowing of the esophagus, the inability to eat, and a violation of the trophic status. The main method of treatment of victims with cicatricial narrowing is bougienage of the esophagus. A special device - bougie - is inserted either “blindly” or along a thread, or along a metal conductor string. However, when performing this manipulation, there is a high probability of traumatic injury up to rupture of the esophageal wall. In the presented clinical case observation, a 1.5 y/o pediatric patient received treatment for esophageal stricture by dilatation. After performing blind forced bougienage without anesthesia and endoscopic support, there were signs of increasing acute respiratory failure. Plain radiography of the chest organs visualized the picture of pneumohydrothorax on the right. The tactics of conservative therapy of this complication was chosen, which led to a positive outcome of the treatment. Therefore, bougienage of esophageal strictures after chemical burns can be safely performed using a guide wire under general anesthesia and endoscopic control in infants.