PMID: 8943108Nov 1, 1996Paper

Gastroesophageal reflux: a determinant in the outcome of caustic esophageal burns

Journal of Pediatric Surgery
O MutafA Arikan

Abstract

Deep circumferencial burns of the esophagus always result in stricture formation and obstruction of the lumen. The usual treatment of caustic esophageal strictures is long-term esophageal dilatations. A new method of treatment, long-term stenting of the strictured esophagus gave superior results when compared with the classic dilatation therapy (healing rates, 68% v 33%; P < .01). Although success in the stent group was very satisfactory, the 32% failure rate requires explanation. In the years between 1991 and 1993, 53 stent-treated patients were screened for gastroesophageal reflux (GER). All patients were investigated with 24-hour ambulatory distal esophageal pHmetry. In 18 patients reflux index (RI) was found to be below 4. In 14 patients RI was between 4.1 and 19. In the final group of 21 patients RI was over 20 (minimum, 21.8; maximum, 72.8). When these data were compared with the healing rates of the patients, it was found that none of the 21 patients with RI over 20 responded to the described therapy. We conclude that the esophagus, after a serious caustic insult, not only narrows but also shortens thus altering the lower esophageal sphincter function leading to serious GER. Therefore all caustic esophageal burn patients...Continue Reading

References

Sep 6, 1990·The New England Journal of Medicine·K D AndersonJ G Randolph
Jan 1, 1986·American Journal of Surgery·L BonavinaJ L Concannon

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Citations

Nov 13, 2004·Pediatric Surgery International·Didem BaskinNihat Sever
Nov 26, 2009·Pediatric Surgery International·Unal BicakciFerit Bernay
Aug 29, 2003·The Journal of Surgical Research·Melih TugayZafer Utkan
Jul 19, 2003·Journal of Clinical Gastroenterology·Kovil Ramasamy, Vivek V Gumaste
Jul 29, 2003·Journal of Pediatric Gastroenterology and Nutrition·Jesús BrotoJose Maria Gil Vernet
Feb 12, 2011·Journal of Paediatrics and Child Health·Carmen A Sánchez-RamírezFrancisco Larios-Arceo
Jul 11, 2013·World Journal of Gastroenterology : WJG·Sandro Contini, Carmelo Scarpignato
Jan 1, 2011·Case Reports in Gastrointestinal Medicine·Raffaele MantaGabrio Bassotti
Dec 1, 2015·Gastrointestinal Endoscopy Clinics of North America·Michael A Manfredi
Sep 29, 2015·World Journal of Emergency Surgery : WJES·Luigi BonavinaPredrag Pesko
May 28, 2011·Journal of Pediatric Surgery·Francesca FoschiaLuigi Dall'Oglio
Nov 30, 2014·Pediatric Surgery International·Alastair J W Millar, Sharon G Cox
Nov 2, 2004·Brazilian Journal of Medical and Biological Research = Revista Brasileira De Pesquisas Médicas E Biológicas·E A L Da-Costa-PintoJ M Bustorff-Silva
Mar 3, 2017·Journal of Burn Care & Research : Official Publication of the American Burn Association·James H BoydJanine M Duke
Nov 8, 2011·The American Journal of Gastroenterology·Gregory S Sayuk, Douglas A Drossman
Jul 15, 2015·ACG Case Reports Journal·Kirbylee K NelsonJoel E Richter
Feb 27, 2018·Gut·Sarmed S SamiStephen E Attwood
May 7, 2020·Esophagus : Official Journal of the Japan Esophageal Society·Ibrahim Uygun, Salih Bayram
Oct 27, 2018·World Journal of Gastrointestinal Endoscopy·Asada Methasate, Varut Lohsiriwat
Sep 16, 2015·Current Opinion in Otolaryngology & Head and Neck Surgery·Ibrahim Uygun

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