Gu Yichao,Huang Jinshi,Liao Junmin,et al.Analysis of diagnosing and treating complications related to esophageal corrosion in children[J].Journal of Clinical Pediatric Surgery,,22():554-557.[doi:10.3760/cma.j.cn101785-202111049-011]
Analysis of diagnosing and treating complications related to esophageal corrosion in children
- Keywords:
- Esophagus; Burns; Chemical; Esophageal Stenosis; Tracheoesophageal Fistula; Diagnosis; Therapy; Treatment Outcome
- Abstract:
- Objective To summarize the experiences of diagnosing and treating complications related to esophageal corrosion in children.Methods Retrospective review was conducted for clinical data of 14 children of esophageal corrosive injuries admitted from November 1, 2017 to May 31, 2019.The complications after ingestion of caustic agents, treatments and prognoses were recorded.Results Among them, there were 12 cases esophageal stricture, including short-segment stricture (n=8) and long-segment stricture (n=4).Endoscopy-guided balloon dilatation was employed.The total number of dilatations were 188 with a success rate of 66.7%(8/12).Group of short-segment esophageal stricture had successful dilations while group of long-segment esophageal stricture failed.Five cases of esophagotracheal fistula were complicated and 3 cases due to button battery had spontaneous closure.Conclusion For corrosive esophageal stricture in children, most cases may be cured by repeated dilatation and the length of stricture segment affects the dilatation outcomes.Esophagotracheal fistula due to button battery has the potential of spontaneous closure and surgical intervention should be performed after failed conservative measures.
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Memo
收稿日期:2021-11-21。
通讯作者:黄金狮,Email:jsdr2002@126.com