O esôfago de Barrett associado à estenose cáustica do esôfago

Andreollo, Nelson Adami; Lopes, Luiz Roberto; Tercioti, Valdir; Brandalise, Nelson Ary; Leonardi, Luiz Sérgio

doi:10.1590/s0004-28032003000300003

Cited by 5 publications

(6 citation statements)

References 15 publications

(19 reference statements)

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“…Caustic burn is a significant medical concern, which may cause important complications such as esophageal stricture, Barrett esophagus, 1 and gastric outlet obstruction. 2 Substances with a pH greater than 12 and lesser than 2 are highly corrosive.…”

Section: Introductionmentioning

confidence: 99%

Caustic Ingestion in Children in South of Iran: A Two-Year Single Center Study

Dehghani¹,

Bahmanyar²,

Javaherizadeh³

2018

Middle East J Dig Dis

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BACKGROUND Caustic ingestion is one of the most important injuries during childhood, which leads to serious sequel. In this study, we evaluated the clinical manifestations, endoscopic appearance, complications, and treatment results in patients with caustic ingestion in our hospital. METHODS Hospital chart of patients with caustic ingestion who admitted to Nemazee Teaching Hospital affiliated to Shiraz University of Medical Sciences during a 2-year period (2015-2016) were reviewed retrospectively. The age, sex, nature of the caustic agent, clinical presentations, grade of injury in endoscopy, degree of parents’ education, site of ingestion, accidental or intentional attempts, complications, and outcomes were reviewed. RESULTS In this study the charts of 41 patients (26 boys and 15 girls) with caustic ingestion over the 2-year period were reviewed. The mean age of the patients was 4.4 year. Of them, 95.1% had ingested the materials accidentally, and 2 (4.9%) patients had ingested unknown substances for suicidal attempt. Of all cases, 68.3% of caustic ingestion occurred in the kitchen. 19 (46.3%) agents were acidic substances and 17 (41.5%) were alkali agents. 5 (12.1%) patients ingested unknown substances. 24.3% of the patients were asymptomatic and the most common presentation was drooling (34.14%). 26.8% of the patients had dysphagia, and 24.3% presented with oral ulcer. 7.3% had abdominal pain, 4.8% had fever, and 2.4% had hematemesis. 14 (34.1%) patients had normal feature, 6 (14.6%) had grade I injury, 12 (29.3%) had grade II injury, and 8 (19.5%) had grade III injury in endoscopic evaluation. CONCLUSION Most of the caustic ingestion occurred in kitchen. Male was the dominant sex in the caustic injury.

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Section: Introductionmentioning

confidence: 99%

Caustic Ingestion in Children in South of Iran: A Two-Year Single Center Study

Dehghani¹,

Bahmanyar²,

Javaherizadeh³

2018

Middle East J Dig Dis

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“…Its occurrence is more common in countries in the North of Europe, being extremely rare in the countries in the far eastern countries. There are few studies pointing at the exact occurrence of Zenker's diverticulum in South American countries, including Brazil, but is known that it is not a common disease among the population 1 , 2 , 21 .…”

Section: Introductionmentioning

confidence: 99%

Assessment of Mechanical and Manual Suture in the Surgical Treatment of the Pharyngoesophageal Diverticulum

Aquino

Chagas

Said

et al. 2015

ABCD, arq. bras. cir. dig.

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Background: The occurrence of the pharyngoesophageal, or Zenker diverticulum is not frequent in the national scenario, and the technique of the diverticulectomy with cricomyotomy in medium and great dimension diverticula is still the most indicated. Because the resection of the diverticulum requires the suture of the pharynx, dehiscence can occur, thereafter delaying swallowing. Hence, the idea is to accomplish this surgical procedure, comparing the manual and mechanical suture, in order to evaluate the real benefit of the mechanical technique. Aim: To evaluate the results of the pharyngoesophageal diverticulectomy with cricomyotomy using manual and mechanical suture with regard to local and systemic complications. Method: Fifty-seven patients with pharyngoesophageal diverticula diagnosed through high digestive endoscopy and pharyngeal esophagogram were studied. The applied surgical technique was diverticulectomy with myotomy of the cricopharyngeal muscle, done in 24 patients (42.2%) the mechanical suture (group A) with the mechanical linear suture device and in 33 (57.8%) a manual closure of the pharynx (group B). Results: In the postoperative period, one patient of group A (4.1%) presented fistula caused by dehiscence of the pharyngeal suture, and three of group B (15.1%) presented the same complication, with a good outcome using a conservative treatment. In the same group, three patients (9.0%) presented stenosis of the suture of the pharynx, with good outcome and with endoscopic dilatations, and no patient from group A presented such complication. Lung infection was present in five patients, being two (8.3%) of group A and three (9.0%) on B, having good outcomes after specific treatment. In the late review, done with 43 patients (94.4%) of group A and 22 (88.0%) on B, the patients declared to be pleased with the surgical procedure, because they were able to regain normal swallowing. Conclusion: The diverticulectomy with myotomy and pharyngeal closure using mechanical suture was proven appropriate, for having restored regular swallowing in most of the patients, and the mechanical closure of the pharynx proved to be more effective in comparison to the manual one, because it provided a lower index of local post-surgical complications.

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“…Therefore, ingestion (accidental or intentional) of such substances occurs frequently. (1)(2)(3) In children, accidental ingestion prevails, whereas voluntary ingestion (with suicidal intent) is more common in adults. (1,2) Alkalis are the substances most frequently ingested, caustic soda (sodium hydroxide) being the principal agent.…”

Section: Introductionmentioning

confidence: 99%

“…(1,2) Alkalis are the substances most frequently ingested, caustic soda (sodium hydroxide) being the principal agent. (1)(2)(3)(4) Chief among the acute complications of caustic ingestion are gastric hemorrhage, esophageal perforation, gastrocolic fistula, esophageal-aortic fistula, and tracheoesophageal fistula (TEF). (1,2) The principal late complication is esophageal stenosis.…”

Section: Introductionmentioning

confidence: 99%

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Fístula esôfago-traqueal após ingestão cáustica

et al. 2007

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Tracheoesophageal fistulas are uncommon and present diverse etiologies, among which is burning of the esophagus due to caustic ingestion. Herein, we report the case of a 27-year-old male patient having ingested a caustic substance 14 days prior and presenting burning retrosternal pain, weakness, productive cough with purulent sputum and dyspnea accompanied by hoarseness for the preceding 24 h. Endoscopy of the upper digestive tract revealed a tracheoesophageal fistula. Treatment consisted of cervical exclusion of the esophageal transit, together with gastrostomy. Subsequently, the nutrient transit was reconstructed through pharyngocoloplasty. The postoperative evolution was favorable.

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O esôfago de Barrett associado à estenose cáustica do esôfago

Cited by 5 publications

References 15 publications

Caustic Ingestion in Children in South of Iran: A Two-Year Single Center Study

Caustic Ingestion in Children in South of Iran: A Two-Year Single Center Study

Assessment of Mechanical and Manual Suture in the Surgical Treatment of the Pharyngoesophageal Diverticulum

Fístula esôfago-traqueal após ingestão cáustica

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