Minimally invasive management of children with caustic ingestion: less pain for patients.

Pediatric Surgery International
Unal BicakciFerit Bernay

Abstract

Management of caustic ingestion in children is still controversial. In this study, we evaluate a minimally invasive management consisting of flexible endoscopy, balloon dilatation and intralesional steroid injection in children, with a history of caustic ingestion. Between April 2002 and January 2009, 350 (206 males and 144 females) children with a history of caustic ingestion were admitted. Enteral feeding was discontinued for 24 h. Parenteral feeding was started in patients with inadequate oral intake. No patient underwent an early esophagoscopy or gastrostomy. A contrast study of upper gastrointestinal tract was performed in all patients with persistent dysphagia within 3 weeks after injury. In case of an esophageal stricture, a dilatation program was initiated. For this purpose, a flexible esophagoscopy was performed. A guidewire was placed through the narrowed segment into the stomach and a balloon dilatator was inserted with the assistance of the guidewire. Balloon dilatations were performed every 1-3 weeks. In intractable strictures, triamcinolone acetonide (TAC) was injected into the narrowed segment via flexible endoscopy. Seventeen patients (8 males, 9 females, median 3 years old) required esophageal dilatation. All o...Continue Reading

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Citations

May 2, 2014·World Journal of Gastroenterology : WJG·Marek WoynarowskiJakub Kmiotek
Jan 30, 2016·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·O BosnaliO Z Pektas
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Nov 12, 2013·Journal of Pediatric Surgery·Ibrahim UygunSelcuk Otcu
Oct 21, 2016·Journal of Caring Sciences·Mandana RafeeyLeila Vahedi
Oct 9, 2016·Disability and Rehabilitation·Anna M FollentPeter Lewindon
Mar 11, 2017·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Hakan TaşkinlarAli Nayci
May 25, 2016·Journal of Pediatric Gastroenterology and Nutrition·Anna M FollentPeter Lewindon
Mar 19, 2014·The Annals of Otology, Rhinology, and Laryngology·Douglas S RuhlKatherine K S Rieth
Oct 19, 2017·Molecules : a Journal of Synthetic Chemistry and Natural Product Chemistry·Blazena CaganovaMagdalena Kuzelova
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Nov 13, 2020·Open Access Emergency Medicine : OAEM·Mustafa Erman Dorterler, Tansel Günendi

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