Literature DB >> 29855871

Risk Factors for Esophageal Stricture in Grade 2b and 3a Corrosive Esophageal Injuries.

Prasit Mahawongkajit1, Prakitpunthu Tomtitchong2, Nuttorn Boochangkool2, Palin Limpavitayaporn2, Amonpon Kanlerd2, Chatchai Mingmalairak2, Surajit Awsakulsutthi2, Chittinad Havanond2.   

Abstract

BACKGROUND AND
PURPOSE: Publications document the risk of developing esophageal stricture as a sequential complication of esophageal injury grades 2b and 3a. Although there are studies describing the risk factors of post-corrosive stricture, there is limited literature on these factors. The aim of this study was to evaluate the different factors with post-corrosive esophageal stricture and non-stricture groups in endoscopic grades 2b and 3a of corrosive esophageal injuries.
METHODS: Data were retrospectively analyzed in the patients with esophageal injury grades 2b and 3a between January 2011 and December 2017.
RESULTS: One hundred ninety-six corrosive ingestion patients were admitted with 32 patients (15.8%) in grade 2b and 12 patients (6.1%) in grade 3a and stricture was developed in 19 patients (61.3%) with grade 2b and in 10 patients (83.3%) with grade 3a. The patients' height of the non-stricture group was greater than that of stricture groups (2b stricture group, 1.58 ± 0.08 m; 2b non-stricture group, 1.66 ± 0.07 m; p < 0.004; 3a stricture group, 1.52 ± 0.09 m; 3a non-stricture group, 1.71 ± 0.02 m; p < 0.001). Omeprazole was more commonly used in the non-stricture than stricture group (26.3% in the 2b stricture group, 69.2% in the 2b non-stricture group, p = 0.017; 50% in the 3a stricture group, 100% in the 3a non-stricture group, 1.71 ± 0.02 m, p = 0.015).
CONCLUSIONS: The height of patients may help to predict the risks and the prescription of omeprazole may help to minimize the risks of 2b and 3a post-corrosive esophageal stricture.

Entities:  

Keywords:  Caustic injury; Corrosive esophageal injury; Esophageal stricture

Mesh:

Substances:

Year:  2018        PMID: 29855871     DOI: 10.1007/s11605-018-3822-x

Source DB:  PubMed          Journal:  J Gastrointest Surg        ISSN: 1091-255X            Impact factor:   3.452


  27 in total

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Authors:  L P Goldman; J M Weigert
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8.  Is there a difference between the management of grade 2b and 3 corrosive gastric injuries?

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Authors:  Kaushik Biswas; Uday Bandyopadhyay; Ishita Chattopadhyay; Archana Varadaraj; Esahak Ali; Ranajit K Banerjee
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10.  Predicting the progress of caustic injury to complicated gastric outlet obstruction and esophageal stricture, using modified endoscopic mucosal injury grading scale.

Authors:  Lung-Sheng Lu; Wei-Chen Tai; Ming-Luen Hu; Keng-Liang Wu; Yi-Chun Chiu
Journal:  Biomed Res Int       Date:  2014-08-04       Impact factor: 3.411

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  3 in total

1.  A prospective randomized controlled trial of omeprazole for preventing esophageal stricture in grade 2b and 3a corrosive esophageal injuries.

Authors:  Prasit Mahawongkajit; Prakitpunthu Tomtitchong; Nuttorn Boochangkool; Chatchai Mingmalairak; Surajit Awsakulsutthi; Chittinad Havanond
Journal:  Surg Endosc       Date:  2020-06-15       Impact factor: 4.584

2.  Comparison of Preoperative CT Colonography and Colonoscopy for Esophageal Reconstruction with Colonic Interposition.

Authors:  Prasit Mahawongkajit; Nuttorn Boochangkool
Journal:  Surg Res Pract       Date:  2020-11-16

3.  The Effect of the COVID-19 on Corrosive Ingestion in Thailand.

Authors:  Chatbadin Thongchuam; Prasit Mahawongkajit; Amonpon Kanlerd
Journal:  Open Access Emerg Med       Date:  2021-07-06
  3 in total

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