Usefulness of early endoscopy for predicting the development of stricture after corrosive esophagitis in children

Park, Ji Yong; Shin, Junghoon; Yang, Hye Ran; Ko, Jae Sung; Kim, Woo Sun

doi:10.3345/kjp.2009.52.4.446

Cited by 1 publication

(2 citation statements)

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“…Because the use of the EBD in corrosive esophagitis has a high failure rate, surgical intervention is inevitably required in patients with progressive fibrosis and dense scarring ( 3 , 11 , 13 , 15 ). Although limited long-term success was achieved by using EBD in this study, the EBD can have a role in allowing the children to eat per os until inflammation has subsided and the lesions have cicatrized prior to surgical management.…”

Section: Discussionmentioning

confidence: 99%

“…Corrosive substances, whether acid or alkali, can both cause significant esophageal strictures, though reactions differ (i.e., acids cause coagulation necrosis of the mucosa, whereas alkalis, like lye, produce liquefaction necrosis that may penetrate deeper layers including muscular layers) ( 2 ). Because glacial acetic acid is still used domestically by some as a food seasoning in East Asia, the occurrence of accidental acid ingestion and of subsequent corrosive esophageal stricture development is more frequent in East Asia than in other parts of the world ( 3 , 4 ).…”

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confidence: 99%

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Balloon Dilatation for Corrosive Esophageal Strictures in Children: Radiologic and Clinical Outcomes

et al. 2010

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ObjectiveWe retrospectively evaluated the effectiveness of the esophageal balloon dilatation (EBD) in children with a corrosive esophageal stricture.Materials and MethodsThe study subjects included 14 patients (M:F = 8:6, age range: 17-85 months) who underwent an EBD due to a corrosive esophageal stricture. The causative agents for the condition were glacial acetic acid (n = 9) and lye (n = 5).ResultsA total of 52 EBD sessions were performed in 14 patients (range 1-8 sessions). During the mean 15-month follow-up period (range 1-79 months), 12 patients (86%) underwent additional EBD due to recurrent esophageal stricture. Dysphagia improved after each EBD session and oral feeding was possible between EBD sessions. Long-term success (defined as dysphagia relief for at least 12 months after the last EBD) was achieved in two patients (14%). Temporary success of EBD (defined as dysphagia relief for at least one month after the EBD session) was achieved in 17 out of 52 sessions (33%). A submucosal tear of the esophagus was observed in two (4%) sessions of EBD.ConclusionOnly a limited number of children with corrosive esophageal strictures were considered cured by EBD. However, the outcome of repeated EBD was sufficient to allow the children to eat per os prior to surgical management.

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