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意外摄入腐蚀性物质后发生的严重食管狭窄:一例球囊内镜扩张术的病例报告

Severe Esophageal Stricture Post Accidental Corrosive Substance Ingestion: A Case Report of Balloon Endoscopic Dilation.

作者信息

Doya Leen Jamel, Naamah Maria, Mansour Hanin Ahmed, Ibrahim Ali, Omran Ammar

机构信息

Department of Pediatrics, Tishreen University Hospital, Lattakia, Syria.

Department of Pediatrics, Gastroenterology and Hepatology, Tishreen University Hospital, Lattakia, Syria.

出版信息

Case Rep Pediatr. 2022 Jul 6;2022:8520213. doi: 10.1155/2022/8520213. eCollection 2022.

DOI:10.1155/2022/8520213
PMID:35847832
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9279103/
Abstract

Corrosive substance ingestion is a very serious home accident, mostly common in developing countries. It frequently causes esophageal burns in the acute stage and esophageal stricture, stenosis, and even cancer in the chronic stage. Severe cases of caustic esophagitis may require esophageal replacement. We describe a case of balloon endoscopy dilation in a two-year-old girl with a severe stricture of the esophagus resulting from accidental ingestion of a corrosive substance (strong alkaline liquid) which helped the patient preserve the esophagus and prevent esophageal replacement. We describe the clinical complication and development during the treatment.

摘要

腐蚀性物质摄入是一种非常严重的家庭事故,在发展中国家最为常见。它在急性期常导致食管烧伤,在慢性期则会引起食管狭窄、闭锁,甚至癌症。严重的腐蚀性食管炎病例可能需要进行食管置换。我们描述了一例针对一名两岁女童的球囊内镜扩张术,该女童因意外摄入腐蚀性物质(强碱性液体)导致严重食管狭窄,此手术帮助患者保留了食管并避免了食管置换。我们还描述了治疗过程中的临床并发症及病情发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32bb/9279103/0bd0670c89a7/CRIPE2022-8520213.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32bb/9279103/0414badf2324/CRIPE2022-8520213.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32bb/9279103/9e63e1cfd427/CRIPE2022-8520213.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32bb/9279103/a81c97185805/CRIPE2022-8520213.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32bb/9279103/41c965d17b8b/CRIPE2022-8520213.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32bb/9279103/0bd0670c89a7/CRIPE2022-8520213.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32bb/9279103/0414badf2324/CRIPE2022-8520213.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32bb/9279103/9e63e1cfd427/CRIPE2022-8520213.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32bb/9279103/a81c97185805/CRIPE2022-8520213.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32bb/9279103/41c965d17b8b/CRIPE2022-8520213.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32bb/9279103/0bd0670c89a7/CRIPE2022-8520213.005.jpg

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本文引用的文献

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Caustic Ingestion in Children: a Systematic Review and Meta-Analysis.儿童腐蚀性物质摄入:一项系统评价与荟萃分析
J Caring Sci. 2016 Sep 1;5(3):251-265. doi: 10.15171/jcs.2016.027. eCollection 2016 Sep.
2
Caustic injury of the upper gastrointestinal tract: a comprehensive review.上消化道腐蚀性损伤:全面综述。
World J Gastroenterol. 2013 Jul 7;19(25):3918-30. doi: 10.3748/wjg.v19.i25.3918.
3
[Management of caustic esophagitis in children].[儿童腐蚀性食管炎的管理]
Arch Pediatr. 2012 Dec;19(12):1362-8. doi: 10.1016/j.arcped.2012.09.013. Epub 2012 Nov 7.
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Predictability of outcome of caustic ingestion by esophagogastroduodenoscopy in children.儿童食管胃十二指肠镜检查预测腐蚀性摄入的结果。
World J Gastroenterol. 2012 Mar 14;18(10):1098-103. doi: 10.3748/wjg.v18.i10.1098.
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Oesophageal corrosive injuries in children: a forgotten social and health challenge in developing countries.儿童腐蚀性食管损伤:发展中国家被忽视的社会和健康挑战。
Bull World Health Organ. 2009 Dec;87(12):950-4. doi: 10.2471/BLT.08.058065.
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Salicylic acid ingestion leading to esophageal stricture.摄入水杨酸导致食管狭窄。
Pediatr Emerg Care. 2010 Feb;26(2):146-8. doi: 10.1097/PEC.0b013e3181d018bc.
7
Caustic ingestion in children: is endoscopy always indicated? The results of an Italian multicenter observational study.儿童腐蚀性物质摄入:内镜检查是否总是必要?一项意大利多中心观察性研究的结果
Gastrointest Endosc. 2008 Sep;68(3):434-9. doi: 10.1016/j.gie.2008.02.016. Epub 2008 Apr 29.
8
What is the utility of selected clinical and endoscopic parameters in predicting the risk of death after caustic ingestion?在预测腐蚀性物质摄入后死亡风险方面,选定的临床和内镜参数有何作用?
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Dilatation of severe esophageal strictures by an inflatable balloon catheter.用可充气球囊导管扩张严重食管狭窄
Gastroenterology. 1981 Jan;80(1):173-5.