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Caustic injury of the oesophagus. Sixteen years experience, and introduction of a new model oesophageal stent

Published online by Cambridge University Press:  29 June 2007

R. N. P. Berkovits ,
C. E. Bos ,
F. A. Wijburg  and
J. Holzki
R. N. P. Berkovits*
Affiliation:
Department of Otolaryngology, University Hospital Rotterdam, Academic Medical Centre (AMC), Amsterdam, The Netherlands
C. E. Bos
Affiliation:
Department of Otolaryngology, University Hospital Rotterdam, Academic Medical Centre (AMC), Amsterdam, The Netherlands
F. A. Wijburg
Affiliation:
Department of Pediatrics, University Hospital Rotterdam, Academic Medical Centre (AMC), Amsterdam, The Netherlands
J. Holzki
Affiliation:
Departments of Anaesthesia, Childrens' Hospital, Cologne, Germany
*
Address for correspondence: R. N. P. Berkovits M.D., Ph.D., Charlotte de Bourbonlaan 52, 3062 GH Rotterdam, The Netherlands. Fax: 0031 10 4525055
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Abstract

Caustic ingestion can lead to oesophageal stenosis. We studied 251 patients, 205 of whom were children, in a sixteen-year period. Seventeen patients, of whom one was an adult, acquired deep burns in the oesophagus which had to be treated, to prevent the development of oesophageal strictures. These patients were treated with long-term stenting of the oesophagus with specially designed, silicone rubber stents, impregnated with silicone oil 20 cS, designed by one of us (R.N.P.B.) as the only treatment. Of all models, the twin-tube dilatator was the most satisfactory. No corticosteroids were administered. Only one patient developed a mild stenosis. It is therefore our opinion that, when life-saving operations are not indicated, twin-tube stenting of the oesophagus is helpful in treating caustic lesions of the oesophagus and will prevent stricture formation. Corticosteroids were not given in this series, and should be abandoned in the treatment of caustic lesions.

Keywords

Causticsoesophageal stenosisStents
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 11 , November 1996 , pp. 1041 - 1045
Copyright
Copyright © JLO (1984) Limited 1996

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