Long-term management of corrosive esophageal stricture with balloon dilation in children

Temız, Abdulkerım; Oğuzkurt, Pelin; Ezer, Semire Serin; İnce, Emine; Hiçsönmez, Akgün

doi:10.1007/s00464-010-0953-x

Cited by 49 publications

(60 citation statements)

References 23 publications

(45 reference statements)

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“…Compared with bougienage, balloon dilatation seems more effective in terms of reducing the total number and frequency of procedures [1,10,14,16]. In one study, a median of 8.5 bougienages were required, while only a median of two balloon dilatations were needed to achieve the same clinical success rate for children with OA [14].…”

Section: Discussionmentioning

confidence: 94%

“…Previous studies have shown that the rupture rate was related to the aetiology of the stricture [3,9]. Moreover, a long stricture or using an inadequate balloon catheter size is also believed to increase the risk of rupture [10,11]. However, because oesophageal rupture following balloon dilatation is uncommon and only transmural ruptures have been evaluated in most endoscopic dilatations, statistical analysis regarding the risk factors was not performed in most studies [11,12].…”

Section: Introductionmentioning

confidence: 94%

“…A short stricture was defined as a single, short stricture less than or equal to two vertebral bodies. A long stricture was defined as a stricture more than two vertebral bodies in length or more than one stricture [10].…”

Section: Patient Populationmentioning

confidence: 99%

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Incidence and management of oesophageal ruptures following fluoroscopic balloon dilatation in children with benign strictures

et al. 2016

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Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 94%

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Incidence and management of oesophageal ruptures following fluoroscopic balloon dilatation in children with benign strictures

et al. 2016

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“…Early dilation is not recommended due to the associated high incidence of perforation and associated morbidity. Most clinicians wait three to six weeks after the initial injury before attempting dilation 4 .Perforation occurs in approximately 0.5% of procedures 5 . Some patients with benign esophageal strictures do not achieve acceptable symptom relief despite an intensive dilation schedule and gastroesophageal reflux therapy.…”

Section: Discussionmentioning

confidence: 99%

Effect of Intralesional Triamcinolone Injection in Patients of Esophageal Stricture Post Acid Ingestion

Narang¹

2017

IOSR JDMS

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“…1,7 The incidence of stricture formation, which is the most common late complication, is between 2% and 63% in cases of caustic ingestion. 7,14,15 The late complications of caustic ingestion are closely related to the depth and extent of esophageal or gastric injury, which has an effect on inflammation and collagen deposition. The extent and depth of injury depends on the quantity, concentration, and pH of the causative substance, as well as tissue contact time.…”

Section: Figure 2: a Bmentioning

confidence: 99%

Late Complications of Corrosive Esophagitis May Be Predicted Using Biochemical Methods: Preliminary Report

Temız¹,

Unal²,

Koçer³

et al. 2012

Turkiye Klinikleri J Med Sci

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A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : High tissue levels of free oxygen radicals (FORs) have been reported in corrosive esophagitis (CE). The present study aimed to determine whether prediction of injury and late complications in CE is possible based on blood levels of FORs, Interleukin (IL)-6, Tumor necrosis factor (TNF)-α, and IL-10. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Forty-two male Wistar albino rats were randomly divided into 2 main groups (A and B), each consisting of 3 subgroups (A1, A2, A3, B1, B2, and B3) of equal number. To induce experimental CE 17.5% NaOH was used in subgroups A2 and B2, and 37.5% NaOH in subgroups A3 and B3. The sham groups (A1 and B1) received 0.9% NaCl. Blood levels of lipid hydroperoxide (LPO) and glutathione peroxidase (GPx) were measured in group A. Blood levels of IL-6, IL-10, and TNF-α were measured in group B. Esophageal samples for histopathological evaluation were obtained following scarification after 3 weeks. R Re es su ul lt ts s: : There were significant differences between the sham subgroups and CE subgroups, regarding histopathological scores (p< 0.05). There was no significant difference between the groups in blood levels of LPO, GPX, TNF-α or IL-10 (p> 0.05). There were significant differences between severe CE subgroups and the sham subgroups, based on IL-6 values (p= 0,007). C Co on nc cl lu us si io on n: : In contrast to previous reports, which demonstrated increased tissue levels of FORs, blood levels of FORs were not high in this study. Nonetheless, in the light of the observed differences in IL-6 levels between the subgroups, we suggest that injury and late complications of CE may be predicted following additional experimental and clinical research using biochemical methods.K Ke ey y W Wo or rd ds s: : Caustics; esophagitis; complications; cytokines Ö ÖZ ZE ET T A Am ma aç ç: : Koroziv özofajitte, yaralanmanın ve geç komplikasyonların öngörülmesinde çeşitli yöntem-ler bildirilmiştir. Yapılan çalışmalar, akut dönemde, dokudaki serbest oksijen radikalleri (SOR) düzeyleri-nin artmış olduğunu ortaya koymuştur. Çeşitli travmalarda interlökin (IL)-6, tümör nekroz faktörü (TNF)-α ve IL-10 gibi proenflamatuar sitokin (PES) ve anti-enflamatuar sitokin (AES) düzeylerinde değişiklikler olduğu bilinmektedir. Bu bilgiler ışığında koroziv özofajit modelinde SOR, PES ve AES'lerin kan düzeyleri-nin, doku hasarının ve striktür gelişiminin öngörülmesinde etkili olup olamayacağının araştırılması amaçlanmıştır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çalışmada 42 erkek Wistar Albino sıçan kullanıldı. Sıçanlar, A ve B grupları şeklinde iki ana gruba ayrıldıktan sonra, bu iki ana grup da her birinde eşit sayıda sıçan olacak şekilde üçer alt gruba ayrıldı (A1, A2, A3, B1, B2 ve B3). A2 (n= 7) ve B2 (n= 7) gruplarında %17,5'luk sodyum hidroksit (NaOH), A3 (n= 7) ve B3 (n= 7) gruplarında ise %37,5'luk NaOH kullanılarak özofajit oluşturuldu. Kontrol gruplarını oluşturan A1 (n= 7) ve B1 (n= 7) gruplarında izotonik kullanıldı. A g...

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Long-term management of corrosive esophageal stricture with balloon dilation in children

Cited by 49 publications

References 23 publications

Incidence and management of oesophageal ruptures following fluoroscopic balloon dilatation in children with benign strictures

Incidence and management of oesophageal ruptures following fluoroscopic balloon dilatation in children with benign strictures

Effect of Intralesional Triamcinolone Injection in Patients of Esophageal Stricture Post Acid Ingestion

Late Complications of Corrosive Esophagitis May Be Predicted Using Biochemical Methods: Preliminary Report

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