Effectiveness of endoscopic balloon dilatation in grade 2a and 2b esophageal burns in children
Minimally Invasive Therapy and Allied Technologies, cilt.26, sa.5, ss.300-306, 2017 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 26 Sayı: 5
- Basım Tarihi: 2017
- Doi Numarası: 10.1080/13645706.2017.1298621
- Dergi Adı: Minimally Invasive Therapy and Allied Technologies
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.300-306
- Anahtar Kelimeler: children, Corrosive, dilatation, esophagus, strictures
- Trakya Üniversitesi Adresli: Hayır
Özet
Purpose: To evaluate the predictability of the initial endoscopic evaluation of the effectiveness of endoscopic balloon dilatation (EBD) in childhood esophageal strictures caused by corrosive ingestion. Material and methods: Medical records of 635 endoscopies caused by corrosive ingestion between January 2000 and December 2015 in children between the ages of 0 and 18 years were retrospectively analyzed. Among them, five children with grade 2a and 15 with grade 2 b who developed esophageal strictures were evaluated for the effectiveness of endoscopic balloon dilatation. Results: The stricture rate was 5/136 (3.6%) in grade 2a and 17/25 (68%) in grade 2 b esophageal burns. Strictures with grade 2a burn had seven (1–10) EBD sessions, and grade 2 b had 8.8 (1–30) EBD sessions. For grade 2a burns, the treatment period was 15 months and 18.8 months for grade 2 b burns. Three patients with grade 2 b and two patients with grade 2a are still on the EBD program. Conclusion: Initial endoscopy for caustic ingestion and esophageal injury grading may help to provide healthcare givers with information about future stricture formation and management.