Document Detail


Is esophagoscopy necessary for corrosive ingestion in adults?
MedLine Citation:
PMID:  19515187     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of the study was to determine whether early esophagoscopy is really necessary for the patients who have ingested a corrosive agent. Patients who were followed up with the diagnosis of corrosive ingestion in our clinic between the years 1998 and 2008 were studied retrospectively. The data were collected through the medical records of the patients and from interviews with them. The analyzed parameters included age, gender, the nature and the amount of the ingested agent, whether the event was accidental or suicidal, diagnostic tools, treatment and the results of the treatment, and long-term follow up. Over a 10-year period, a total of 124 cases of corrosive ingestion cases were determined. Of these, 64 (51.6%) were male and 60 (48.4%) were female. The mean age was 38 +/- 17.5 years. The most commonly ingested corrosive agents were sodium hypochlorite in 50 (40.3%) patients and hydrochloric acid in 33 (26.6%) patients. The mean admission time for the emergency department after ingestion of the corrosive agent was 2.5 +/- 3.7 hours. Ingestion was accidental in 82% of the patients and as a result of a suicide attempt in 18%. The amount of ingested corrosive agent in the suicidal group (190 +/- 208.3 mL) was higher than that of accidental group (66 +/- 58.3 mL) (P= 0.012). Nine patients underwent esophagoscopy, six of which were performed in other clinical centers. Only three (2.4%) patients experienced esophageal stricture, which were treated with repeated dilatations. In the long-term follow up, we could get in touch with only 63 patients and none of them had complications due to corrosive ingestion. The follow-up period ranged from 1 to 120 months (median 45 +/- 29.2 months). Based on our study, early esophagoscopy appears to be unnecessary in adult patients who ingested the corrosive agent accidentally. A larger prospective study is needed to answer the question.
Authors:
Burcin Celik; Aydin Nadir; Ekber Sahin; Melih Kaptanoglu
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Publication Detail:
Type:  Journal Article     Date:  2009-06-09
Journal Detail:
Title:  Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus / I.S.D.E     Volume:  22     ISSN:  1442-2050     ISO Abbreviation:  Dis. Esophagus     Publication Date:  2009  
Date Detail:
Created Date:  2009-12-21     Completed Date:  2010-03-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8809160     Medline TA:  Dis Esophagus     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  638-41     Citation Subset:  IM    
Affiliation:
19 Mayis University Medical School, Department of Thoracic Surgery, Samsun, Turkey. cburcin@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Burns, Chemical / therapy*
Caustics / toxicity*
Esophageal Diseases / chemically induced*
Esophageal Stenosis / chemically induced,  therapy
Esophagoscopy / utilization*
Female
Humans
Hydrochloric Acid / toxicity
Male
Middle Aged
Retrospective Studies
Sodium Hypochlorite / toxicity
Unnecessary Procedures*
Young Adult
Chemical
Reg. No./Substance:
0/Caustics; 7647-01-0/Hydrochloric Acid; 7681-52-9/Sodium Hypochlorite

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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