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| Year : 2003 | Volume
: 8
| Issue : 1 | Page : 14-18 |
Caustic esophageal burns : experience in the northeast of Mexico
RV Borroel, GL Lopez
Trevino # 440, pte Desp 302, Centre, Monterrey, NL 64000, Mexico
Correspondence Address:
RV Borroel
Trevino # 440, pte Desp 302, Centre, Monterrey, NL 64000
Mexico
 Source of Support: None, Conflict of Interest: None  | Check |
ABSTRACT: Caustic esophageal burns is a health problem. From January 1990 to July 1999, we attended 149 patients with caustic esophageal burns (85 male, 64 female) :18 patients below 1 year of age, 112 between 1 and 4, 13 between 5 and 10 and 6 over 10. the principal chemical substance was lye (111 cases), followed by muriatic acid (17 cases). We divided the patients in 2 groups : Group I patients with esophagoscopy (127), Group II patients without esophagoscopy (12). The second group did not have endoscopy because they came late and were treated as patient with burn. Results 118 cases had one or more lesions outside the esophagus. In group I, 25 patients had burns type I,51 type II and 6 type III (Zargar's classification), 45 patients did not have lesions by endoscopy. Sixteen had esophageal stenosis treated with esophageal dilatation and 4 had esophageal substitution with colon. In group II, 9 patients had stenosis and 4 had esophageal substitution. There were 31 patients with visible clinical injuries. Endoscopy was performed in 18, 7 had burns type I, 4 had burns type II 2 underwent esophageal replacement with colon. Four of the 10 patients more than 10 years of age had attempted suicide.
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