Wijburg F A, Heymans H S, Urbanus N A
Department of Pediatrics, University Hospital of Amsterdam (AMC), The Netherlands.
J Pediatr Surg. 1989 Feb;24(2):171-3. doi: 10.1016/s0022-3468(89)80241-6.
Accidental caustic ingestion, a problem of childhood, can lead to esophageal stricture formation. We studied 132 children less than 19 years of age who were admitted to our hospital for suspected caustic ingestion. Forty-nine had burns in the esophagus, 11 of whom had deep and circular burns and were therefore prone to developing esophageal strictures. Only these 11 children were treated for prevention of stricture formation with a special nasogastric tube, functioning as intraluminal stent; this was their sole treatment. No corticosteroids were used. Only one of the 11 developed mild stenosis. In none of the other untreated children was stricture formation observed. Therefore, we believe that this approach spares many children unnecessary treatment and hospitalization, that our nasogastric tube effectively prevents stricture formation, and that there is no need for the use of corticosteroids in the treatment of caustic esophageal lesions in childhood.
意外摄入苛性剂是一个儿童期问题，可导致食管狭窄形成。我们研究了132名19岁以下因疑似苛性剂摄入而入住我院的儿童。49名儿童食管有烧伤，其中11名有深度环形烧伤，因此易于发生食管狭窄。仅对这11名儿童采用一根特殊的鼻胃管进行预防狭窄形成的治疗，该鼻胃管起到腔内支架的作用；这是他们唯一的治疗方法。未使用皮质类固醇。11名儿童中只有1名出现轻度狭窄。在其他未治疗的儿童中均未观察到狭窄形成。因此，我们认为这种方法使许多儿童避免了不必要的治疗和住院，我们的鼻胃管能有效预防狭窄形成，且在儿童腐蚀性食管病变的治疗中无需使用皮质类固醇。
