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Caustic esophagitis intake

Antonio Heliodoro Chávez-Aguilar, Héctor Silva-Báez, Yamid Brajin Sánchez-Rodríguez, Carlos Esparza-Ponce, Miguel Ángel Zatarain-Ontiveros, Juan Carlos Barrera de León
OBJECTIVE: To describe the early complications of esophageal replacement with colon in children. METHODS: Descriptive cross-sectional study from 2005 to 2011 in pediatric patients diagnosed with alkali intake, esophageal atresia or esophageal injury traumatic esophageal replacement handled via retrosternal colon. Descriptive statistical analysis using SPSS 20.0. RESULTS: We included 19 esophageal replacements, age seven (4-15), 13 (68%) male and six (31%) female...
May 2015: Gaceta Médica de México
Ali Sina Shahi, Behnoosh Behdad, Alireza Esmaeili, Mojtaba Moztarzadeh, Hassan Peyvandi
OBJECTIVE: To compare the outcomes of a modified laparoscopic intraluminal stenting with the conventional laparatomic technique in patients with esophageal caustic injuries. METHODS: A total of 103 patients with esophageal burns were included in this retrospective analysis. Patients were candidates for esophageal stenting to prevent future stenosis. According to patient preference, stenting was done with either the innovatory stent with the modified technique (52 patients) or the conventional method that required laparotomy (51 patients)...
July 2015: General Thoracic and Cardiovascular Surgery
Wolfgang Scheppach, Malte Meesmann
History | A 77-year-old woman was admitted with severe chest pain, heartburn, dysphagia and odynophagia. She had been on dabigatran for 13 months due to atrial fibrillation and arterial hypertension. Investigations and findings | Endoscopy of the esophagus revealed sloughing of mucosal casts, predominantly in the upper half of the organ. Treatment and course | The patient was placed on pantoprazol, local anaesthetic antacid and i. v. fluids. Dabigatran was discontinued. The symptoms disappeared within 3 days...
April 2015: Deutsche Medizinische Wochenschrift
B Cakal, E Akbal, S Köklü, A Babalı, E Koçak, A Taş
The ingestion of caustic substances may result in significant esophageal injury. There is no standard treatment protocol for esophageal injury and most patients are treated with a proton pump inhibitor or H2 antagonist. However, there is no clinical study evaluating the efficacy of omeprazole for caustic esophageal injury. A prospective study of 13 adult patients (>18 years of age) who were admitted to our hospital for caustic ingestion between May 2010 and June 2010 was conducted. Mucosal damage was graded using a modified endoscopic classification described by Zargar et al...
January 2013: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
Rajiv Sharma, Arthur J DeCross
OBJECTIVE: Acute dysphagia/odynophagia developed in a 79-year-old female patient secondary to what we believe was a caustic injury to a large Zenker's diverticulum (ZD) in the setting of long-term alendronate use. She reported severe dysphagia and odynophagia of 1-week duration. She had experienced a similar episode 10 months earlier that had resolved after stopping alendronate temporarily. Although she was able to handle secretions, she was unable to swallow solids or liquids. She was noted to be dehydrated...
February 2011: Gastrointestinal Endoscopy
Abdulkerim Temiz, Pelin Oguzkurt, Semire Serin Ezer, Emine Ince, Akgun Hicsonmez
BACKGROUND AND PURPOSE: There are only a few studies focused on efficacy and safety of balloon dilation in corrosive esophageal stricture in children. The aim of this study is to assess the long-term clinical results of balloon dilation in the treatment of corrosive esophageal stricture in children. MATERIALS AND METHODS: We retrospectively analyzed the management of 18 children (median age 3 years) who were treated with balloon dilation because of caustic esophageal stricture between January 2001 and December 2008...
September 2010: Surgical Endoscopy
Unal Bicakci, Burak Tander, Gulay Deveci, Riza Rizalar, Ender Ariturk, Ferit Bernay
PURPOSE: Management of caustic ingestion in children is still controversial. In this study, we evaluate a minimally invasive management consisting of flexible endoscopy, balloon dilatation and intralesional steroid injection in children, with a history of caustic ingestion. METHODS: Between April 2002 and January 2009, 350 (206 males and 144 females) children with a history of caustic ingestion were admitted. Enteral feeding was discontinued for 24 h. Parenteral feeding was started in patients with inadequate oral intake...
March 2010: Pediatric Surgery International
J-H Zhou, T-Q Gong, Y-G Jiang, R-W Wang, Y-P Zhao, Q-Y Tan, Z Ma, Y-D Lin, B Deng
In this article, we reviewed our experience of treatment of the delayed intrathoracic nonmalignant esophageal perforation employing modified intraluminal esophageal stent. Between February 1990 and August 2006, eight patients were included in this study. Five patients experienced sepsis. The interval time between perforation and stent placement ranged from 36 h to 27 days (average, 8.6 days). Esophageal stenting and throracotomy for foreign body removal were performed in four patients. The remaining four patients underwent stent placement and thoracostomy...
2009: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
E-Y Doo, J H Shin, J H Kim, H-Y Song
AIM: To evaluate the safety and clinical effectiveness of balloon dilatation in children for oesophageal strictures caused by the ingestion of corrosive agents. MATERIALS AND METHODS: The study comprised 11 children (median age 6 years; range 1-14 years) with oesophageal strictures caused by corrosive agents, who underwent a total of 36 balloon dilatation sessions. The technical and clinical success, recurrence of dysphagia, complications, and primary and secondary patency rates were retrospectively evaluated...
March 2009: Clinical Radiology
Ru-Wen Wang, Jing-Hai Zhou, Yao-Guang Jiang, Shi-Zhi Fan, Tai-Qian Gong, Yun-Ping Zhao, Qun-You Tan, Yi-Dan Lin
OBJECTIVE: We sought to present our experience in preventing esophageal stricture formation using modified intraluminal stenting in patients with caustic burns. METHODS: Between April 1976 and June 2005, 33 of 162 patients with corrosive esophageal burns were included in this study. Endoscopy was performed to define the degree of injury in all the patients but one. Among the 33 patients, 31 underwent modified esophageal intraluminal stenting through laparotomy 2-3 weeks after ingestion of corrosive agent and the remaining 2 patients underwent immediately after experiencing esophageal perforation...
August 2006: European Journal of Cardio-thoracic Surgery
Didem Baskin, Nafiye Urganci, Latif Abbasoğlu, Canan Alkim, Mehmet Yalçin, Cetin Karadağ, Nihat Sever
Oesophageal strictures developing after caustic ingestion in children are a serious problem, and several protocols to prevent stricture formation have been proposed. A prospective clinical trial was conducted for preventing strictures in caustic oesophageal burns in a single clinic, and the results are presented. All children with caustic ingestion who had oesophagoscopy for diagnosing the severity of the burn were included in the study. Eighty-one children were included in the series, with ages ranging between 3 months and 12 years...
December 2004: Pediatric Surgery International
Mieke Moerman, Hossein Fahimi, Wim Ceelen, Piet Pattyn, Hubert Vermeersch
Our study compares deglutition between a group who had undergone total esophagopharyngolaryngectomy and a group who had esophagectomy and partial pharyngectomy with preserved larynx, after reconstruction of the upper digestive tract with pedicled colon interposition. In four patients the laryngeal structures could be preserved (three caustic burns and one proximal esophageal tumor). Six patients underwent a total laryngopharyngectomy for large pharyngeal tumors. Swallowing was assessed by a questionnaire, clinical examination, and videofluoroscopy...
2003: Dysphagia
P López Vallejos, M V García Sánchez, A Naranjo Rodríguez, C Gálvez Calderón, A Hervás Molina, M Chicano Gallardo, G Miño Fugarolas
OBJECTIVE: To evaluate the results of endoscopic dilatation in caustic esophageal strictures and to analyze the factors associated with a favorable response. PATIENTS AND METHOD: We performed a retrospective study of 33 patients who underwent dilatation with Savary bougie between 1989 and 2001. Response to initial dilatation and outcome during follow-up were analyzed. RESULTS: The mean age was 50 years (8-83) and 58% were women. Intake was accidental in 29 (88%)...
March 2003: Gastroenterología y Hepatología
Yau-Lin Tseng, Ming-Ho Wu, Mu-Yen Lin, Wu-Wei Lai
OBJECTIVE: To evaluate the feasibility and long-term results of early gastric surgery for patients with isolated gastric stricture following acid corrosion injury. MATERIALS AND METHODS: Upper gastrointestinal (UGI) series was routinely performed around the 4th week after acid corrosion injury. Patients with gastric stricture and no risk of delayed esophageal stricture underwent early solitary gastric surgery, which was defined when performance of the procedure took place within 2 months of the injury...
2002: Digestive Surgery
V O Adegboye, A Brimmo, O A Adebo
Ten children with corrosive esophageal strictures were referred for esophageal replacement. The children whose ages ranged between 2 and 6 years (mean 4.1 +/- 1.4 years) had transhiatal esophagectomy (THE) and immediate posterior mediastinal transposition of their isoperistaltic stomach and cervical esophagogastrostomy. No patient had a gastric drainage procedure. All patients had nasogastric tube and a cervical perianastomotic drain until full oral intake resumed. Anastomotic leakages were managed by trans-oral irrigation (TOI) and postoperative feeding was through jejunostomy...
September 2000: African Journal of Medicine and Medical Sciences
E García Díaz, M Castro Fernández, M Romero Gómez, L Castilla Higuero
BACKGROUND: To determine the distribution, extension and severity of injuries produced by the ingestion of caustic substances in the upper gastrointestinal tract, and to assess the relationship of these factors with the type of caustic substance ingested, whether intake was accidental or deliberate and the appearance of strictures or death. PATIENTS AND METHOD: Between 1993 and 1999, 138 patients (74 males and 84 females) who underwent upper gastrointestinal endoscopy in our unit within the first 24 hours after ingestion of caustic substances were included in the study...
April 2001: Gastroenterología y Hepatología
David A. Katzka
The potentially catastrophic presentation and lifelong complications that result from caustic ingestion make it one of the most challenging clinical situations in gastroenterology. Patients who present with a history of caustic ingestion, particularly with a strong alkali or acid, should undergo emergent endoscopy once stabilized to assess the degree of oropharyngeal, esophageal, and gastric damage regardless of presence or lack of symptoms. Once staged, patients with moderate to severe injury should be restricted from any oral intake, placed on intravenous fluids, and observed, provided there are no signs of perforation or transmural necrosis that require immediate esophagectomy...
February 2001: Current Treatment Options in Gastroenterology
J C Dunn, E W Fonkalsrud, H Applebaum, W W Shaw, J B Atkinson
BACKGROUND: Esophageal replacement is associated with significant morbidity that may lead to operative interventions. This study reviews the management and outcome of children who underwent reoperation after esophageal replacement. METHODS: Eighteen patients who underwent esophageal replacement from 1985 to 1997 were reviewed retrospectively. Ten patients underwent reoperation. Patient management, perioperative morbidity, and the dietary intake at follow-up were recorded for each patient...
November 1999: Journal of Pediatric Surgery
S Ahsan, M Haupert
OBJECTIVE: To review the initial signs, symptoms, and endoscopic findings in children admitted to the hospital for ingestion of caustic hair relaxer. DESIGN: Retrospective medical chart review of all children admitted to the hospital with a diagnosis of caustic ingestion from January 1, 1992, to June 30, 1997. Demographics, admission signs and symptoms, and operative findings were recorded from the medical records. SETTING: An urban tertiary care children's hospital...
September 1999: Archives of Otolaryngology—Head & Neck Surgery
A Lörken, J Krampert, R J Kau, W Arnold
Patients with hypopharyngeal and cervical esophageal strictures and fistulas caused by advanced malignancy, ingestion of caustic material, or following surgery or radiation therapy often suffer from marked dysphagia. In such cases the implantation of a Montgomery Salivary Bypass Tube (MSBT) can be an effective therapeutic option to bridge the fistulous tract or bypass a stenosis. Being able to eat and drink without the need for intravenous supplementation or nasogastric or gastrostomy tube feeding in general greatly improves the patient's quality of life...
1997: Dysphagia
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