The negative effect of hyperbaric oxygen therapy at the acute phase of electrochemical esophageal burn induced by button battery ingestion

Aydın, Atakan; Aktaş, Şamil; Hafız, Günter; Kabakas, Fatih; Erer, Metin; Bılgıç, Bilge

doi:10.1016/j.ijporl.2004.03.002

Cited by 7 publications

(2 citation statements)

References 11 publications

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“…In accord with the literature, endotracheal stenting placement for TEF is commonly used for acquired TEF, especially in those children who accidentally swallowed a button battery. It is well known that the corrosive damage secondary to battery ingestion is caused by the toxic effect of mercuric oxide, by the mucosal burning effect of the local discharge of battery contents, and additionally by local necrosis due to direct pressure, all of which can often result in a large tracheoesophageal fistula orifice that is difficult to occlude through conventional surgical treatment and other types of endoscopic repair (66,67). Because of its easy adjustability, the coated biliary stent is a good fit for repairing this type of TEF, and therefore, it is clinically feasible to consider endotracheal stenting if the fistula area is large.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic interventional therapies for tracheoesophageal fistulas in children: A systematic review

Ling

Sun²,

Li³

et al. 2023

Front. Pediatr.

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MethodsAn electronic literature search was performed using the keywords “tracheoesophageal fistula,” “endoscopic,” and “children” in the four major medical databases (Ovid, Embase, PubMed, and Web of Science) right from inception to September 2022. All English language articles describing the endoscopic interventional therapies of TEF in children were reviewed. Two independent researchers screened eligible articles at the title and abstract level. Full texts of potentially relevant articles were then screened again, and reference lists were screened manually to identify additional studies. Relevant data were extracted and analyzed. A synthesis of the relevant data was presented in descriptive form because of the heterogeneity of the included articles. The Chi-Squared test was used with a significance level of 5% (P < 0.05).ResultsAmong the 1,167 retrieved papers, a total of 46 studies describing 170 TEF patients with an age range of 0.3–175 months were included, including 11 cases of acquired tracheoesophageal fistula, 144 cases of recurrent tracheoesophageal fistula, and 15 cases of congenital tracheoesophageal fistula (H-type TEF). A total of 119 out of 170 fistulas were successfully blocked via endoscopic techniques with an overall success rate of 70.0%, while 48 fistulas failed to close by endoscopic interventions, following which the procedure was converted to open surgery. No obviously severe intraoperative/postoperative complications occurred during the follow-up period, but only a mild esophageal stricture was noticed in six patients and grade II tracheal stenosis in one patient. Two patients died from causes unrelated to endoscopic procedures, with a mortality rate of approximately 1.2%. A comparative assessment of different endoscopic interventional techniques for TEF that detected endotracheal stenting was performed in six patients and one fistula was successfully blocked (16.7%). De-epithelialization alone was performed in 65 patients and the fistula healed in 47 of them (72.3%), with the mean number of successful treatments required being 2.3 times. Chemical sealant injection was administered in 33 patients and success was achieved in 21 (63.6%). The average requirement for endoscopic procedures was 1.5 times. De-epithelialization, in combination with chemical sealant injection, was performed in 62 patients, achieving the highest success rate of 77.4% (48 patients). Other treatment methods were performed in four patients and successfully treatment outcomes were reported in two of them (50.0%). The mean number of successful treatments required was four times, and a treatment was converted to surgery in one patient (25.0%). An assessment of different TEF types showed that 9 out of 15 congenital TEFs, 7 out of 11 acquired TEFs, and 103 out of 144 recurrent TEFs were successfully occluded. A comparison of the success rate across multiple groups showed a significant difference with a score of P < 0.05, while there was no significant difference in the success rate of different TEF-type groups (P > 0.05).ConclusionEndoscopic intervention is currently a preferred treatment modality for children with TEF because of its less-invasive nature, less complications, and high success rate. Among all interventional techniques, de-epithelialization, in combination with chemical sealant, has a higher success rate than other techniques. However, due to the limited number of cases reported for implementing many kinds of techniques, an ideal endoscopic interventional technique has yet to be devised, often necessitating more treatment applications and close follow-up.

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Section: Discussionmentioning

confidence: 99%

Endoscopic interventional therapies for tracheoesophageal fistulas in children: A systematic review

Ling

Sun²,

Li³

et al. 2023

Front. Pediatr.

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“…There have been many reports of Abnormal data are underlined esophageal burns caused by the ingestion of a button battery and caustic materials such as household bleach, detergents, and cleaning agents. [4][5][6][7] The severity of esophageal burns is classified as first degree (edema), second degree (ulceration), and third degree (massive edema and eschar formation with or without full thickness necrosis). 8 The burns inflicted by those materials are usually limited to the esophageal mucosa and do not result in extensive necrosis.…”

Section: Discussionmentioning

confidence: 99%

Successful Management of Esophageal Perforation Diagnosed 3 Days After Injury Caused by an Explosion in the Workplace: Report of a Case

et al. 2006

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We report a case of esophageal perforation caused by an explosion, but which was not diagnosed until 3 days after the injury. A 53-year-old worker sustained superficial dermal burns to his trachea, face, neck, and legs during an explosion. The burns were treated conservatively at a local hospital, but he was transferred to our hospital 3 days after the injury, when mediastinal emphysema and bilateral pleural effusion became evident. An esophagogram followed by computed tomography showed an esophageal perforation caused by the blast injury, and we performed an esophagectomy with recontruction of the gastric tube. After the operation, an X-ray showed a foreign body in the lower abdomen, which we found in the upper thoracic esophagus on the day of injury. We surmised that the patient had inadvertently swallowed a foreign body, which had been heated and scattered by the explosion, and it had melted the upper thoracic esophagus.

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Physiologic Effects of Hyperbaric Oxygen on Ischemia-Reperfusion Phenomenon

Poucke

Beaucourt

2006

Handbook on Hyperbaric Medicine

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The negative effect of hyperbaric oxygen therapy at the acute phase of electrochemical esophageal burn induced by button battery ingestion

Cited by 7 publications

References 11 publications

Endoscopic interventional therapies for tracheoesophageal fistulas in children: A systematic review

Endoscopic interventional therapies for tracheoesophageal fistulas in children: A systematic review

Successful Management of Esophageal Perforation Diagnosed 3 Days After Injury Caused by an Explosion in the Workplace: Report of a Case

Physiologic Effects of Hyperbaric Oxygen on Ischemia-Reperfusion Phenomenon

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