Apport des moyens endoscopiques dans la dilatation des sténoses caustiques de l’oesophage

  • Togo Seydou
  • Ouattara Moussa Abdoulaye
  • Li Xing
  • Sanogo Zimogo Zi
  • Koumaré Sekou
  • Yang Shang Wen
  • Sankare Ibrahim
  • Toure Cheik Ahmed Sekou
  • Maiga Ibrahim Boubacar
  • Jacque Saye
  • Dakouo Dodino Jerome
  • Toure Ousmane Dantoumé
  • Yena Sadio

Abstract

Introduction: 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). Conclusion: 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.

Keywords: Esophagus, caustic stenosis, dilatation, endoscopic

Pan African Medical Journal 2016; 23

Author Biographies

Togo Seydou
Service de Chirurgie Thoracique, Hôpital du Mali, Bamako, Mali
Ouattara Moussa Abdoulaye
Service de Chirurgie Thoracique, Hôpital du Mali, Bamako, Mali
Li Xing
23ème Mission Médicale Chinoise, Hôpital du Mali, Bamako, Mali
Sanogo Zimogo Zi
Service de Chirurgie « A » CHU du Point G, Bamako, Mali
Koumaré Sekou
Service de Chirurgie « A » CHU du Point G, Bamako, Mali
Yang Shang Wen
23ème Mission Médicale Chinoise, Hôpital du Mali, Bamako, Mali
Sankare Ibrahim
Service de Chirurgie Thoracique, Hôpital du Mali, Bamako, Mali
Toure Cheik Ahmed Sekou
Service de Chirurgie Thoracique, Hôpital du Mali, Bamako, Mali
Maiga Ibrahim Boubacar
Service de Chirurgie Thoracique, Hôpital du Mali, Bamako, Mali
Jacque Saye
Service de Chirurgie Thoracique, Hôpital du Mali, Bamako, Mali
Dakouo Dodino Jerome
Service de Chirurgie Thoracique, Hôpital du Mali, Bamako, Mali
Toure Ousmane Dantoumé
Service de Santé Publique et de Statistique Hôpital du Mali, Bamako, Mali
Yena Sadio
Service de Chirurgie Thoracique, Hôpital du Mali, Bamako, Mali
Published
2016-06-13
Section
Articles

Journal Identifiers


eISSN: 1937-8688