| Usefulness of early endoscopy for predicting the development of stricture after corrosive esophagitis in children |
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Ji Yong Park1, Jee Youn Shin1, Hye Ran Yang1, Jae Sung Ko1, Woo Sun Kim2, Jeong Kee Seo1 |
1Departments of Pediatrics, Seoul National University College of Medicine, Seoul, Korea
2Departments of Radiology, Seoul National University College of Medicine, Seoul, Korea |
| 소아 부식식도염의 합병증 예측을 위한 조기 내시경 검사의 유용성 |
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박지용1, 신지연1, 양혜란1, 고재성1, 김우선2, 서정기1 |
1서울대학교 의과대학 소아과학교실
2서울대학교 의과대학 영상의학교실 |
Correspondence:
Jeong Kee Seo, Email: jkseo@snu.ac.kr
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| Abstract |
Purpose
: This study was performed to demonstrate the usefulness of early endoscopy for predicting the development of stricture following corrosive ingestion in children.
Methods
: We conducted a retrospective study on 34 children who were brought to Seoul National University Childrens Hospital and Seoul National University Bundang Hospital for corrosive ingestion from 1989 to 2007.
Results
: The corrosive burns were classified as grade 0 in 8 patients, grade 1 in 2, grade 2a in 7, grade 2b in 13, and grade 3 in 4. There was no significant correlation between the presence of esophageal injury and symptoms including vomiting, dysphagia, and drooling. There was a statistically significant relation between the presence of oropharyngeal injury and esophageal injury (P=0.014). There were no complications including hemorrhage and perforation related to endoscopy. Strictures of the esophagus or the stomach developed in 12 patients (36.4%). Esophageal stricture was observed in 11 patients and pyloric stenosis in 1 patient. The endoscopic grade of mucosal injury was significantly related to the frequency of development of esophageal stricture (P=0.002). Two of eleven patients with esophageal stricture responded to repeated dilation. The remaining seven patients underwent surgery.
Conclusion
: Early esophagogastroduodenoscopy is not only a safe and useful diagnostic tool for children with accidental caustic ingestion but also a necessity for determining the degree and the extent of caustic burns and for predicting the development of late complications. |
| Key Words:
Burns, Chemical, Caustics, Esophagitis, Esophagoscopy, Esophageal stenosis, Child |
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