1733 Wonder Neutralization: Esophageal Stents in Caustic Injury

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Management of esophageal caustic injury

Ingestion of caustic substances and its long-term effect on the gastrointestinal system maintain its place as an important public health issue in spite of the multiple efforts to educate the public and contain its growing number. This is due to the ready availability of caustic agents and the loose regulatory control on its production. Substances with extremes of pH are very corrosive and can c...

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Use of self-expanding nitinol stents in the pediatric management of refractory esophageal caustic stenosis.

BACKGROUND The treatment of recurrent esophageal stricture secondary to the ingestion of a caustic agent is an arduous task. Self-expanding esophageal stents may be an alternative to repeated endoscopic esophageal dilations. CASE REPORT We present the case of a two-year-old male with a severe and long esophageal stricture successfully treated by the combination of dilations and stent placemen...

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Effects of caustic lye injury to the esophageal smooth muscle reactivity: in vitro study.

PURPOSE We investigated late effects of caustic lye injury on esophageal smooth muscle reactivity in the rat model. MATERIALS AND METHODS Male Sprague-Dawley rats were divided into two groups. Through a median laparatomy incision, abdominal esophageal segment was isolated. Orogastric and gastric (via gastrotomy) catheters were placed and tied over the isolated esophageal segment. Saline (0.9%...

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[Endoscopic dilatation of caustic esophageal strictures].

OBJECTIVE To evaluate the results of endoscopic dilatation in caustic esophageal strictures and to analyze the factors associated with a favorable response. PATIENTS AND METHOD We performed a retrospective study of 33 patients who underwent dilatation with Savary bougie between 1989 and 2001. Response to initial dilatation and outcome during follow-up were analyzed. RESULTS The mean age was...

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Esophageal Replacement for Caustic Stricture-A

Digestive injury and complications resulting from caustic ingestion is the most challenging clinical situations encountered in gastroenterology. The commonest chemicals implicated in gastrointestinal caustic injury are alkaline and acid agents. The caustic ingestion is voluntarily and in suicidal intent in the most situations in adult .In fact, successful management of these patients requires m...

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ژورنال

عنوان ژورنال: American Journal of Gastroenterology

سال: 2019

ISSN: 0002-9270,1572-0241

DOI: 10.14309/01.ajg.0000596464.34207.88