Pathophysiology and management of acute corrosive burns of the esophagus: Results of treatment in 285 children

J. Alex Haller, H. Gibbs Andrews, John J. White, M. Akram Tamer, William W. Cleveland

Research output: Contribution to journalArticle

141 Scopus citations

Abstract

Two hundred eighty-five children with possible caustic burns of the esophagus have been managed at two university hospitals using similar protocols. Of these, 235 (82%) had immediate esophagoscopy and 69 (29%) had demonstrated esophageal burns. They were treated with steroids and antibiotics. Eight (12%) with proven burns developed strictures that responded to prolonged dilatations and none have required esophageal replacement. The remainder are free of swallowing symptoms. By contrast, eight patients from other hospitals who were not treated by this protocol were referred for esophageal replacement6 and prolonged dilatation.2 Our strong impression is that immediate steroid-antibiotic therapy greatly decreases the incidence of esophageal stricture but does not completely eliminate it. Those children who develop strictures on this treatment regimen seem to have milder esophageal scarring, which usually responds to dilatation rather than requiring esophageal replacement.

Original languageEnglish (US)
Pages (from-to)578-584
Number of pages7
JournalJournal of Pediatric Surgery
Volume6
Issue number5
DOIs
StatePublished - Oct 1971

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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