TITLE:
Caustic Esophageal Stenosis: Epidemiological, Clinical, Endoscopic and Therapeutic Aspects at the Gabriel Touré University Hospital in Bamako
AUTHORS:
Sow Hourouma wife Coulibaly, Doumbia Kadiatou wife Samaké, Dicko Moussa Younoussa, Tounkara Makan Siré, Sanaogo Déborah wife Sidibé, Anselme Konaté, Moussa Tiemoko Diarra, Moussa Youssoufa Maiga
KEYWORDS:
Causticstenosis, Esophagus, Endoscopic Dilatation
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.11 No.10,
October
29,
2021
ABSTRACT: Voluntary or accidental ingestion of a caustic
product is increasingly encountered in our country.
Caustic esophageal stenosis is the most common sequel. Its treatment involves
instrumental dilation and/or surgery which is particularly heavy. The aim
of this study was to study the epidemiological, clinical and therapeutic
aspects of caustic esophageal strictures in our context. The retrospective
study took place from December 2013 to December 2017 in the
Hepato-Gastroenterology department of the Gabriel Touré university
hospital in Bamako. We included patients with caustic esophageal stenosis
referred to the gastrointestinal endoscopy unit for dilation. 67 patients
admitted for caustic stenosis were included. The mean age of our patients was
20.76 ± 19.9 years with extremes of 1 and 70 years and a sex ratio of 1.9. In
50.7% of cases, the product ingested was basic in nature. The clinical symptomatology
was dominated by dysphagia (100%), vomiting (100%), the emaciated (60%) and
cough (40%). In 59 (88%) patients, the
stenosis was unique and multiple in 8 (12%).
The KILLIAN mouth as the sole site of the stenosis was found in 40.3% of
patients. The number of sessions was ≤ 3 in 16.4% and >3 in 83.6% with a mean of 4.59 ±
1.57 sessions. The evolution was favorable in 95.5% of our patients. However, we recorded
three (3) cases of death all following a perforation. Conclusion: Caustic esophageal stenosis, a consequence of
ingestion of caustics, is increasingly observed in our context. Endoscopic
dilation occupies an important place in its management.