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苛性剂摄入所致食管狭窄的延迟处理:1例报告

Delayed Management of Esophageal Stricture due to Caustic Ingestion: A Case Report.

作者信息

Burhan Taufik, Widodo Budi, Sugihartono Titong, Riswanto Arival Yanuar

机构信息

Study Program of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.

Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.

出版信息

Gastro Hep Adv. 2025 Mar 22;4(7):100659. doi: 10.1016/j.gastha.2025.100659. eCollection 2025.

Abstract

Caustic ingestion usually carries superficial burns to extensive necrosis in the upper gastrointestinal tract and might cause complications, especially esophageal stricture. One of the dangerous substances accidentally ingested in large quantities is sodium lauryl sulfate, despite this being an alkaline substance commonly available in homes due to its used cleaning properties. Management of esophageal stricture with recurrence lumen stenosis may be required endoscopic dilation combined with stenting. Selecting stent material was crucial in minimizing post-installation losses and elevated nutritional intake.

摘要

腐蚀性物质摄入通常会导致上消化道从浅表烧伤到广泛坏死,并可能引发并发症,尤其是食管狭窄。大量意外摄入的危险物质之一是月桂醇硫酸酯钠,尽管它是一种因清洁用途而常见于家庭的碱性物质。对于复发性管腔狭窄的食管狭窄处理,可能需要内镜扩张并结合支架置入。选择支架材料对于将置入后的损失降至最低并提高营养摄入量至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fff/12136885/56e1602db19c/gr1.jpg

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