MODERN METHODS OF THE TREATMENT OF ESOPHAGEAL STRICTURES IN BULLOUS EPIDERMOLYSIS CHILDREN

Author:

Tupylenko Artem V.1,Lokhmatov M. M.2,Murashkin N. N.1,Oldakovskiy V. I.1

Affiliation:

1. National Medical Research Center of Children’s Health

2. National Medical Research Center of Children’s Health; I.M. Sechenov First Moscow State Medical University

Abstract

The review presents modern approaches to the treatment and prevention of the benign esophageal stenosis in epidermolysis bullosa (EB) children. There are discussed advantages and disadvantages of such main methods as conservative, intraluminal recanalization, and surgical operations used in the treatment of esophageal strictures in EB patients. The features of anesthesia in BE patients are described. Balloon dilatation of esophageal strictures under endoscopic or fluoroscopic control has been shown to be the optimal method of treating patients. In severe BE children with refractory esophageal stenosis, developmental delay, and nutritional status disorders, to perform hyperalimentation by virtue of the percutaneous endoscopic gastrostomy (PEG) tube is recommended.

Publisher

National Medical Research Center for Childrens Health

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