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Caustic injury of the oesophagus. Sixteen years experience, and introduction of a new model oesophageal stent

Published online by Cambridge University Press:  29 June 2007

R. N. P. Berkovits ,
C. E. Bos ,
F. A. Wijburg  and
J. Holzki
R. N. P. Berkovits*
Affiliation:
Department of Otolaryngology, University Hospital Rotterdam, Academic Medical Centre (AMC), Amsterdam, The Netherlands
C. E. Bos
Affiliation:
Department of Otolaryngology, University Hospital Rotterdam, Academic Medical Centre (AMC), Amsterdam, The Netherlands
F. A. Wijburg
Affiliation:
Department of Pediatrics, University Hospital Rotterdam, Academic Medical Centre (AMC), Amsterdam, The Netherlands
J. Holzki
Affiliation:
Departments of Anaesthesia, Childrens' Hospital, Cologne, Germany
*
Address for correspondence: R. N. P. Berkovits M.D., Ph.D., Charlotte de Bourbonlaan 52, 3062 GH Rotterdam, The Netherlands. Fax: 0031 10 4525055
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Abstract

Caustic ingestion can lead to oesophageal stenosis. We studied 251 patients, 205 of whom were children, in a sixteen-year period. Seventeen patients, of whom one was an adult, acquired deep burns in the oesophagus which had to be treated, to prevent the development of oesophageal strictures. These patients were treated with long-term stenting of the oesophagus with specially designed, silicone rubber stents, impregnated with silicone oil 20 cS, designed by one of us (R.N.P.B.) as the only treatment. Of all models, the twin-tube dilatator was the most satisfactory. No corticosteroids were administered. Only one patient developed a mild stenosis. It is therefore our opinion that, when life-saving operations are not indicated, twin-tube stenting of the oesophagus is helpful in treating caustic lesions of the oesophagus and will prevent stricture formation. Corticosteroids were not given in this series, and should be abandoned in the treatment of caustic lesions.

Keywords

Causticsoesophageal stenosisStents
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 11 , November 1996 , pp. 1041 - 1045
Copyright
Copyright © JLO (1984) Limited 1996

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References

Anderson, K. D., Rouse, T. M., Randolph, J. G. (1990) A controlled trial of corticosteroids in children with corrosive injury of the esophagus. New England Journal of Medicine 323: 637–640.CrossRefGoogle ScholarPubMed
Berkovits, R. N. P., Bos, C. E., Pauw, K. H., de Gee, A. W. J. (1978) Congenital cricoid stenosis, pathogenesis, diagnosis and method of treatment. Journal of Laryngology and Otology 92: 1083–1100.CrossRefGoogle ScholarPubMed
Berkovits, R. N. P., van der Schans, E. J., Molenaar, J. C. (1987) Treatment of congenital cricoid stenosis. In Progress in Pediatric Surgery, vol 21, (Wurnig, P., ed.) Springer Verlag, Berlin, Heidelberg, pp 19–29.Google Scholar
Bos, C. E., Berkovits, R. N. P., Struben, W. H. (1973) Wider application of prolonged endotracheal intubation. Journal of Laryngology and Otology 87: 263–279.CrossRefGoogle Scholar
Claudel-Bonvoisin, S., Morgon, A., Bontemps, P., Moulinier, B., Pansu, M. (1982) Nouveau protocole thérapeutique pour prévenir les sténoses caustiques oesophagiennes: intérêtd'une sonde de calibrage en Silastic. Ada Endoscopica 12: 191–197.Google Scholar
Dehesdin, D., Andrieu-Guitrancourt, J., Ingouf, G. O., Peron, J. M. (1982) Brûlures caustiques de l'oesophage chez l'enfant. A propos de l'endoscopie initiale et du calibrage de principe. Annales Otolaryngologiques 99: 497–504.Google Scholar
Hager, J., Aigner, F., Menardi, G. (1986) Oesophagusverätzungen im Kindesalter. Analyse von Diagnostik und Therapie unter Berücksichtigung des eigenen Krankengutes (96 kinder). Padiatrische Praxis 34: 455–467.Google Scholar
Haller, J. A., Gibbs Andrews, H. G., Wite, J. J., Akram Tamer, M., Cleveland, W. W. (1971) Pathophysiology and management of acute corrosive burns of the esophagus;result of treatment in 285 children. Journal of Pediatric Surgery 6: 578–584.CrossRefGoogle Scholar
Hawkins, D. B., Demeter, M. J., Barnett, T. E. (1980) Caustic ingestion. Controversies in management. A review of 214 cases. Laryngoscope 90: 98–109.CrossRefGoogle ScholarPubMed
Kirsh, M. M, Ritter, F. (1976) Caustic ingestion and subsequent damage to the oropharyngeal and digestive passages. Annals of Thoracic Surgery 21: 74–82.CrossRefGoogle Scholar
Kirsh, M. M., Petersen, A., Brown, J. W., Orringer, M. B., Ritter, F., Sloan, H. (1978) Treatment of caustic injuries of the esophagus: A ten-year experience. Annals of Surgery 188: 675–678.CrossRefGoogle ScholarPubMed
Meredith, J. W., Kon, N. D., Thompson, J. N. (1988) Management of injuries from liquid lye ingestion. Journal of Trauma 28(8): 1173–1180.CrossRefGoogle ScholarPubMed
Mills, L. J., Estrere, A. S., Platt, M. R. (1979) Avoidance of esophageal stricture following severe caustic burns by the use of an intraluminal stent. Annals of Thoracic Surgery 28: 60–65.CrossRefGoogle ScholarPubMed
Reyes, H. M., Hill, J. L. (1976) Modification of the experimental stent technique for esophageal burns. Journal of Surgical Resources 20: 65–76.Google Scholar
Tucker, J. A., Yarington, C. T. (1979) The treatment of caustic ingestion. Otolaryngological Clinics of North America 12: 343–350.CrossRefGoogle ScholarPubMed
Wijburg, F. A., Heymans, H. S. A., Urbanus, N. A. M. (1989) Caustic esophageal lesions in childhood: prevention of stricture formation. Journal of Pediatric Surgery 24: 171–173.Google Scholar