Usefulness of early endoscopy for predicting the development of stricture after corrosive esophagitis in children / 소아과
Korean Journal of Pediatrics
; : 446-452, 2009.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-168721
Responsible library:
WPRO
ABSTRACT
PURPOSE:
This study was performed to demonstrate the usefulness of early endoscopy for predicting the development of stricture following corrosive ingestion in children.METHODS:
We conducted a retrospective study on 34 children who were brought to Seoul National University Childrens Hospital and Seoul National University Bundang Hospital for corrosive ingestion from 1989 to 2007.RESULTS:
The corrosive burns were classified as grade 0 in 8 patients, grade 1 in 2, grade 2a in 7, grade 2b in 13, and grade 3 in 4. There was no significant correlation between the presence of esophageal injury and symptoms including vomiting, dysphagia, and drooling. There was a statistically significant relation between the presence of oropharyngeal injury and esophageal injury (P=0.014). There were no complications including hemorrhage and perforation related to endoscopy. Strictures of the esophagus or the stomach developed in 12 patients (36.4%). Esophageal stricture was observed in 11 patients and pyloric stenosis in 1 patient. The endoscopic grade of mucosal injury was significantly related to the frequency of development of esophageal stricture (P=0.002). Two of eleven patients with esophageal stricture responded to repeated dilation. The remaining seven patients underwent surgery.CONCLUSION:
Early esophagogastroduodenoscopy is not only a safe and useful diagnostic tool for children with accidental caustic ingestion but also a necessity for determining the degree and the extent of caustic burns and for predicting the development of late complications.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Pyloric Stenosis
/
Sialorrhea
/
Stomach
/
Vomiting
/
Burns
/
Deglutition Disorders
/
Caustics
/
Retrospective Studies
/
Endoscopy, Digestive System
/
Esophagoscopy
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Child
/
Humans
Language:
Korean
Journal:
Korean Journal of Pediatrics
Year:
2009
Document type:
Article