| Author/Editor | Berčič, J | |
| Title | Rezultati zdravljenja korozivnih okvar požiralnika na Oddelku za otorinolaringologijo in cervikofacialno kirurgijo v Mariboru (1947-1991): retrospektivna in prospektivna študija | |
| Translated title | The results of caustic esophageal lesions treatment at the Maribor ear, nose and throat department (1947-1991): a retrospective and partly prospective study | |
| Type | članek | |
| Source | Zdrav Vestn | |
| Vol. and No. | Letnik 63, št. 1 | |
| Publication year | 1994 | |
| Volume | str. 19-22 | |
| Language | slo | |
| Abstract | Background. There are many contmversies in management of corrosive injuries of the esophagus. In this partly retrospective and partly prospective study, we evaluate our methods and results of treatment before and after the year 1985 (in the periods from Jan.1, 1947, to Dec. 31, 1984, and from Jan.1, 1985 to Dec. 31, 1991). In this period 827 patients with suspected caustic ingestion were admitted to the Ear, nose and throat department of the Teaching Hospital in Maribor Slovenia. In 480 cases ingestion was due to a self poisoning act. In 185 cases lyp was the agent used, in 170 caustic soda and in IS ammonia were ingested. In 204 cases acid products were swallowed, 107 of which contained hydrochloric acid, in 82 acetic acid and in 15 cases sulphuric acid. In 132 cases bleach agent (Varichina) was ingested. Methods. We investigated the records of 722 patients on whom an esophagoscopy (between the first and eighth day) was performed. Lesions in the esophagus were found in 314 patients. In the retrospective gnoup there were 691 patients treated between 1947 and 1984. An esophageal stricture developed in 149 cases. Strictures were treated by antegrade (135 cases) and by retrograde dilatations (14 cases). In the prospective group 31 patients were treated between 1985 and 1991. In these cases a nasogastric tube (for 6-8 weeks) was inserted immediately after initial esophagoscopy and antibiotics with steroids were prescribed. A stricture developed in 9 cases. Results. In the retrospective group among 149 strictures 37 were strictures. | |
| Descriptors | ESOPHAGEAL STENOSIS BURNS, CHEMICAL INTUBATION, GASTROINTESTINAL AGE FACTORS SUICIDE, ATTEMPTED CAUSTICS |