Corrosive Burns of the Esophagus and Stomach: A Recommendation for an Aggressive Surgical Approach

Estrera, Aaron S.; Taylor, W.; Mills, Lawrence J.; Platt, Melvin R.

doi:10.1016/s0003-4975(10)62769-5

Cited by 127 publications

(74 citation statements)

References 23 publications

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“…6,7 Boiling water can cause thermal injury with full thickness burn. Although esophageal lesions are found in only a minority of children who are suspected of having ingested a caustic agent, a prompt endoscopy by an experienced surgeon or pediatric gastroenterologist using flexible endoscope needs to be performed within the first 24 hours in all cases.…”

Section: Discussionmentioning

confidence: 99%

“…There is still no clinical standardized system of interpreting endoscopic findings for corrosive ingestion injuries. 7 All group B patients except four were referred with well-established esophageal strictures. Patient 2 presented initially to our Accident and Emergency after sulfuric acid ingestion.…”

Section: Discussionmentioning

confidence: 99%

“…In patient 5, contrast study showed mid one-third esophageal stricture and stomach outlet obstruction which also required pyloroplasty. Stomach burn has been reported at the gastroesophageal region, 7 prepyloric and pyloric regions. 3 Complete upper fiberoptic GIT endoscopy is recommended to predict the possible occurrence of this complication.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The Management of Esophageal Strictures in Children

Jawad

Al-Samarrai

Al-Rabeeah

et al. 1995

Annals of Saudi Medicine

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Management of Esophageal Strictures in Children

Jawad

Al-Samarrai

Al-Rabeeah

et al. 1995

Annals of Saudi Medicine

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“…4 Instinct to induce vomiting, gastric lavage and activated charcoal should be terminated. 17 Rarely, folinic acid (1 mg/kg Iv bolus followed by 6 doses of 1 mg/kg Iv doses at 4th hourly intervals) may be needed in severe systemic poisoning by enhancing formate degra dation in the liver. 18 Hemodialysis is useful in intractable …”

Section: 13mentioning

confidence: 99%

Acute Formic Acid Poisoning: A Case Series Analysis with Current Management Protocols and Review of Literature

Naik¹,

Goutham²,

Bhat³

et al. 2014

International Journal of Head and Neck Surgery

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“…Early esophagogastroduodenoscopy (EGD) is recommended within the 24-48 hours to evaluate the severity and extent of damage, establish prognosis, and guide therapy [6][7][8]. Many endoscopic grading systems have been purposed [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

The Role of Second-look Endoscopy in Severe Esophageal Caustic Injury

Puo-Hsien¹,

Seak²,

Chiu³

et al. 2017

J Gastrointest Dig Syst

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Severe caustic ingestion often leads to multiple complications and high mortality rate. Esophagogastroduodenoscopy is recommended during the first 24 hours for severity and extent evaluation, but it seems insufficient to guide further managements in severe caustic injury patients due to rapid progression and variable clinical conditions. Therefore, we tried to evaluate the safety and role of second-look endoscopy in these patients in 1-2 weeks later.We retrospectively collected severe esophageal caustic injury (grade 2b, 3a, 3b) adults with and without secondlook endoscopy in subacute stage (6 th -14 th days after caustic injury) in Linkou Change Gung Memorial Hospital during 2011/1-2014/11. They were divided in to once endoscopy group and second-look endoscopic group according to the patients with second-look endoscopy or not. They were further matched with the same cause of caustic injury, corrosive properties, injury grading, and then selected with Excel RAND function. There were 26 patients in both groups.The average timing of second-look endoscopy was 10.23 ± 3.166 (mean ± SD) days after caustic ingestion. The hospital stay was significantly shorter in the second-look endoscopy group (24.92 ± 17.50 days, 54.38 ± 43.73 days, P=0.002). However, the complication rate was not statistically significant between these two groups.In conclusion, second-look endoscopy is safe and might shorten the hospital stay. However, prospective, randomized and larger sample size studies are needed to support the finding.

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Corrosive Burns of the Esophagus and Stomach: A Recommendation for an Aggressive Surgical Approach

Cited by 127 publications

References 23 publications

The Management of Esophageal Strictures in Children

The Management of Esophageal Strictures in Children

Acute Formic Acid Poisoning: A Case Series Analysis with Current Management Protocols and Review of Literature

The Role of Second-look Endoscopy in Severe Esophageal Caustic Injury

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