DOI: https://doi.org/10.22263/2312-4156.2016.2.60
Petukhov A.V.
The quality of life of patients with esophageal strictures after chemical burns following balloon dilatation
Educational Establishment «Vitebsk State Order of Peoples’ Friendship Medical University», Vitebsk, Republic of Belarus
Vestnik VGMU. 2016;15(2):60-66.
Abstract.
Objectives. To assess the degree of alimentary inanition and biochemical disturbances as well as the life quality of patients with esophageal strictures after chemical burns following balloon dilatation.
Material and methods. The total of 36 cases with esophageal burns strictures were treated with balloon dilatation. In all patients their body mass index, the level of the main biochemical parameters of the blood, the level of hemoglobin, erythrocytes as well as the degree of dysphagia were determined. The diagnosis of esophageal stricture was confirmed using both upper endoscopy and contrast radiography of the upper gastrointestinal tract. After the provided treatment the quality of life was estimated using SF-36 questionnaire.
Results. The third degree dysphagia was registered in 88,9% of patients and 69,4% of them were underweight. There were no gross deviations in blood analysis such as hypoproteinemia, hypoalbuminemia or decrease in the amount of red blood cells or hemoglobin. Esophageal balloon dilatation allows to safely and effectively restore luminal diameter of the esophagus requiring only 1 to 3 procedures with 1-2 days interval. The quality of life analysis has shown that such indices as general health, emotional health and role functioning are affected most of all. And when calculating general indices the «psychological component of health» suffers more – 40,15 points in comparison with the «physical component of health», which made up 49,61 points.
Conclusions. The main indicators of the severity of patients’ condition with post-burn esophageal strictures are body mass index and dysphagia degree. Esophageal balloon dilatation is a safe and effective way to restore luminal diameter of the esophagus thus relieving dysphagia. The reduction of the life quality in patients with post-burn strictures occurs mainly due to the psychological health component.
Key words: esophageal stricture, esophageal balloon dilatation, quality of life.
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