| 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 |
Related Documents
:
|
22240847 - Manuka honey as an effective treatment for chronic pilonidal sinus wounds. 8694297 - Gastroesophageal reflux and tracheobronchial contamination after cardiac surgery: shoul... 22313437 - Predicting chronic kidney disease outcomes: are two estimated glomerular filtration rat... 17562117 - The durability of laparoscopic nissen fundoplication: 11-year outcomes. 21351807 - Multisystem langerhans cell histiocytosis in children: current treatment and future dir... 17699197 - A prospective, open-label trial of sirolimus in the treatment of focal segmental glomer... |
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 |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| 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
Previous Document: Does combined multichannel intraluminal esophageal impedance and manometry predict postoperative dys...
Next Document: Esophagectomy for cancer: clinical concerns support centralizing operations within the larger hospit...