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http://dx.doi.org/10.3345/kjp.2009.52.4.446

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

Park, Ji Yong (Department of Pediatrics, Seoul National University College of Medicine)
Seo, Jeong-Kee (Department of Pediatrics, Seoul National University College of Medicine)
Shin, Jee Youn (Department of Pediatrics, Seoul National University College of Medicine)
Yang, Hye Ran (Department of Pediatrics, Seoul National University College of Medicine)
Ko, Jae Sung (Department of Pediatrics, Seoul National University College of Medicine)
Kim, Woo Sun (Department of Radiology, Seoul National University College of Medicine)
Publication Information
Clinical and Experimental Pediatrics / v.52, no.4, 2009 , pp. 446-452 More about this Journal
Abstract
Purpose : This study was performed to demonstrate the usefulness of early endoscopy for predicting the development of stricture following corrosive ingestion in children. Methods : We conducted a retrospective study on 34 children who were brought to Seoul National University Childrens Hospital and Seoul National University Bundang Hospital for corrosive ingestion from 1989 to 2007. Results : The corrosive burns were classified as grade 0 in 8 patients, grade 1 in 2, grade 2a in 7, grade 2b in 13, and grade 3 in 4. There was no significant correlation between the presence of esophageal injury and symptoms including vomiting, dysphagia, and drooling. There was a statistically significant relation between the presence of oropharyngeal injury and esophageal injury (P=0.014). There were no complications including hemorrhage and perforation related to endoscopy. Strictures of the esophagus or the stomach developed in 12 patients (36.4%). Esophageal stricture was observed in 11 patients and pyloric stenosis in 1 patient. The endoscopic grade of mucosal injury was significantly related to the frequency of development of esophageal stricture (P=0.002). Two of eleven patients with esophageal stricture responded to repeated dilation. The remaining seven patients underwent surgery. Conclusion : Early esophagogastroduodenoscopy is not only a safe and useful diagnostic tool for children with accidental caustic ingestion but also a necessity for determining the degree and the extent of caustic burns and for predicting the development of late complications.
Keywords
Burns; Chemical; Caustics; Esophagitis; Esophagoscopy; Esophageal stenosis; Child;
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