Caustic injury of the oesophagus. Sixteen years experience, and introduction of a new model oesophageal stent

The Journal of Laryngology and Otology
R N BerkovitsJ Holzki

Abstract

Caustic ingestion can lead to oesophageal stenosis. We studied 251 patients, 205 of whom were children, in a sixteen-year period. Seventeen patients, of whom one was an adult, acquired deep burns in the oesophagus which had to be treated, to prevent the development of oesophageal strictures. These patients were treated with long-term stenting of the oesophagus with specially designed, silicone rubber stents, impregnated with silicone oil 20 cS, designed by one of us (R.N.P.B.) as the only treatment. Of all models, the twin-tube dilator was the most satisfactory. No corticosteroids were administered. Only one patient developed a mild stenosis. It is therefore our opinion that, when life-saving operations are not indicated, twin-tube stenting of the oesophagus is helpful in treating caustic lesions of the oesophagus and will prevent stricture formation. Corticosteroids were not given in this series, and should be abandoned in the treatment of caustic lesions.

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Citations

Jul 11, 2013·World Journal of Gastroenterology : WJG·Sandro Contini, Carmelo Scarpignato
Jul 13, 2012·Journal of Emergencies, Trauma, and Shock·Seyed Mohammad Vahid HosseiniAhmad Reza Rasekhi
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Sep 14, 2011·Expert Review of Gastroenterology & Hepatology·Mortada Elshabrawi, Hassan H A-Kader
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Feb 4, 2006·Journal of Pediatric Gastroenterology and Nutrition·Ron Shaoul, Dov Tiosano

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