eISSN: 1897-4317
ISSN: 1895-5770
Gastroenterology Review/Przegląd Gastroenterologiczny
Current issue Archive Manuscripts accepted About the journal Editorial board Abstracting and indexing Subscription Contact Instructions for authors Publication charge Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
Search
Editorial Policies
Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

Open access

without publication fees
4/2019
vol. 14
 
Share:
Send email
Share:
abstract:
Original paper

Conservative treatment of caustic oesophageal injuries in children: 15 years of experience in a tertiary care paediatric centre

Jonas Povilavičius
1
,
Narimantas Evaldas Samalavičius
2, 3
,
Gilvydas Verkauskas
1
,
Kęstutis Trainavičius
1
,
Milda Povilavičienė
4

  1. Department of Paediatric Surgery, Children’s Hospital, Affiliate of Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
  2. Department of Surgery, Klaipeda University Hospital, Klaipeda, Lithuania
  3. Clinic of Internal, Family Medicine and Oncology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
  4. Department of Surgery, Ukmergės Hospital, Ukmergė, Lithuania
Gastroenterology Rev 2019; 14 (4): 286–291
DOI: https://doi.org/10.5114/pg.2019.90255
Online publish date: 2019/12/20
View full text Get citation
 
PlumX metrics:
Introduction
Endoscopic dilatation is good choice of conservative treatment for caustic digestive tract injuries in children.

Aim
To set up a strategy of management of caustic digestive tract injury based on our experience and literature review.

Material and methods
We retrospectively analysed medical records of 34 paediatric patients who were admitted to the Centre of Paediatric Surgery of the Children’s Hospital between 2000 and 2017. Age at presentation, gender, anatomic location, circumstances and distribution of injury, early and late complications, clinical signs, and the first aid were analysed. Upper gastrointestinal (GI) endoscopy was performed within 12–24 h after ingestion in all cases. The Zargar classification system was used to grade the severity of the injury. Fisher’s exact test was used for statistical analysis, with p < 0.05 considered as the limit of statistical significance.

Results
The upper GI endoscopy revealed caustic injuries in 5 (15%) and 8 (23%) patients were classified as grade IIa and IIb, respectively. Oesophageal and ventricle caustic injuries in 3 (9%) and 2 (6%) patients were classified as grade IIIa and IIIb, respectively. Thirteen patients with grade IIa and IIIb injuries suffered permanent damage and required repeated dilatation. All patients underwent stricture treatment using late or early endoscopic dilatation of the oesophagus. An average of 15 dilatation procedures were required to achieve a satisfactory lumen.

Conclusions
Our experience of 34 children revealed that endoscopic dilatation may be required as a primary treatment for oesophageal strictures.

keywords:

caustic injury, conservative treatment, endoscopic dilatation
Termedia
About us Contact
Copyright notice Privacy policy Advertising policy Contact us
Quick links
Journals Books eBooks Events
© 2024 Termedia Sp. z o.o.
Developed by Bentus.