| 摘要 |
Objective: We reviewed our experience and analyzed the outcome of upper
gastrointestinal (UGI) caustic injury in children treated at our institute.
Methods: From June 1983 to October 2005, a total of 89 children (50 boys and 39
girls) with caustic injuries treated at our institute were reviewed with medical
records, including initial management, operative data, postoperative course and
follow-up data. Patients with esophageal strictures who refused treatment were
excluded. Mean age was 2.87 years old (ranging from 6 m/o to 13.2 y/o).
Results: Seventy-four (83%) of them accidentally swallowed alkali corrosives, and
the other 15 (17%) accidentally swallowed acid substances. Forty-eight patients had
no sequelae, 39 patients had esophageal stricture and 2 had prepyloric obstruction.
The mean follow-up period was 21.1 months (ranging from 2 weeks to 17.4 years).
Esophageal bougienage alone (21 patients, 51.2%), segmental resection of the
esophagus and anastomosis (3 patients, 7.3%), segmental resection of the esophagus
and anastomosis with subsequent reconstruction of the esophagus (2 patients, 4.9%),
reconstruction of the esophagus (13 patients, 31.7%) and Billroth I procedure (2
patients, 4.9%) were performed according to late clinical presentations. At present,
36 patients (87.8%) are free of symptoms, and 5 patients are still receiving periodic
esophageal dilatation.
Conclusion: In our patients with UGI caustic injury, those with sequelae of
esophageal stricture had a good prognosis either by esophageal dilatation alone or
esophageal reconstruction. |
