Corrosive injury of the oesophagus in children.
Int J Pediatr Otorhinolaryngol
; 70(6): 1103-7, 2006 Jun.
Article
em En
| MEDLINE
| ID: mdl-16574248
ABSTRACT
OBJECTIVE:
This study examined a cohort of pediatric patients treated for suspected corrosive injury of the oesophagus in the ENT department between 1994 and 2003.METHODS:
During the study period we examined 337 patients. All patients were treated according to an individual diagnostico-therapeutic protocol that included foremost, early rigid oesophagoscopy; intensive medical therapy; nasogastric tube placement; and/or surgical intervention.RESULTS:
Our proposed system of grading on a scale from 0 to 4 was used to classify the findings upon oesophagoscopy. One hundred eighty eight patients (55.7%) had a negative exam; 1st degree corrosive injury was present in 58 patients (17.4%); 2nd and 3rd degree injury in 81 patients (24%); and 4th degree was found in 10 patients (3%).CONCLUSIONS:
Because the endoscopic findings were positive in 44% of patients with suspected corrosive injury, early rigid oesophagoscopy is indicated in all patients suspected of having corrosive injury even in the absence of clinical symptoms.
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Base de dados:
MEDLINE
Assunto principal:
Queimaduras Químicas
/
Cáusticos
/
Esôfago
Tipo de estudo:
Etiology_studies
/
Guideline
/
Incidence_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Child, preschool
/
Humans
/
Infant
Idioma:
En
Ano de publicação:
2006
Tipo de documento:
Article