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[Emergency esophagoscopy in chemical burns in children]
Insights
Early esophagoscopy and specific treatments for esophageal burns can prevent strictures. This method, applied to 225 patients, showed no scarry strictures in long-term follow-ups of severe cases.
Area of Science:
- Gastroenterology
- Trauma Surgery
Context:
- Esophageal burns present a significant challenge in trauma care.
- Early diagnosis and intervention are crucial for managing esophageal injuries.
- Traditional treatments may involve invasive procedures like bougieurage.
Purpose:
- To evaluate the efficacy of early esophagoscopy and a comprehensive management strategy for esophageal burns.
- To determine the long-term outcomes, specifically the incidence of esophageal strictures, following this treatment protocol.
Summary:
- Esophagoscopy within hours of burn trauma accurately identifies burn location and extent.
- A management protocol including esophageal lavage, local anesthesia, early feeding, and homeostasis correction avoids bougieurage.
- Follow-up esophagoscopy monitors healing and allows treatment adjustments.
- This approach was used in 225 patients, with 57 severe/moderate cases showing no late scarry strictures.
Impact:
- This conservative management strategy effectively prevents esophageal strictures after burns.
- It offers a less invasive alternative to traditional interventions for esophageal burn injuries.
- The findings support the routine adoption of this protocol in burn care settings.
Abstract:
Esophagoscopy performed within the first hours after the burn trauma helps to find out the localisation and extension of the burn. An abundant washing of the esophagus carried out within the first day after trauma, administration of novocain, early feeding and, in case of a general resorptive effect of a poison, a timely correction of homeostasis disturbances permit to manage without bougieurage of the esophagus. Later on a control esophagoscopy favours the following-up of the healing of the burn and the correction of the treatment process, if needed. The described method has been used in the treatment of 225 patients. Late results have been studied in 57 cases of severe and moderate esophageal burns. No scarry strictures have been found.