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FASCICOLI E ARTICOLI   I PIÙ LETTI   eTOC

ULTIMO FASCICOLOTHE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica

Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632

Periodicità: Bimestrale

ISSN 0021-9509

Online ISSN 1827-191X

 

The Journal of Cardiovascular Surgery 1999 Aprile;40(2):307-10

THORACIC PAPERS 

 ORIGINAL ARTICLES

Combined use of ster­oid, anti­bi­o­tics and ear­ly bou­gien­age ­against stric­ture for­ma­tion fol­low­ing caus­tic esoph­a­geal ­burns

Kar­nak I., Tan­yel F. C., Büyükpamukçu N., Hiçsönmez A.

From the Department of Pediatric Surgery Hacettepe University Faculty of Medicine Ankara, Turkey

Background. If an esoph­a­geal ­burn is diag­nosed, the aim is to pre­vent stric­ture for­ma­tion. The com­bined use of ster­oid, anti­bi­o­tics and ear­ly bou­gien­age (­SAEB) is one of the cur­rent­ly ­used treat­ment pro­to­cols. The ­effect of ­SAEB treat­ment ­against stric­ture for­ma­tion fol­low­ing caus­tic esoph­a­geal ­burn has ­been eval­u­at­ed ret­ro­spec­tive­ly.
Methods. Forty-nine chil­dren of 282 admit­ted ­with a his­to­ry of caus­tic sub­stance inges­tion ­were ­found to ­have esoph­a­geal ­burns. Forty-nine chil­dren under­went treat­ment ­against stric­ture for­ma­tion. ­SAEB was ­begun with­in 48 ­hours of inges­tion.
Results. Eight chil­dren of 12 who ingest­ed sodi­um hydrox­ide and ­five chil­dren of 20 who ingest­ed ­acids devel­oped stric­tures in ­spite of the ther­a­py. Additionally two esoph­a­geal per­fo­ra­tions ­were encoun­tered in ­patients who ingest­ed sodi­um hydrox­ide.
Conclusions. This pro­to­col has ­been ­found to car­ry a ­risk of per­fo­ra­tion with­out pre­vent­ing stric­ture for­ma­tion ­after ­strong alka­li inges­tion. Therefore oth­er treat­ment modal­ities for pre­vent­ing stric­tures ­should be eval­u­at­ed espe­cial­ly in chil­dren who ­have ingest­ed prod­ucts con­tain­ing ­strong alka­lis.

lingua: Inglese


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