Lahoti D, Broor S L
Department of Gastroenterology, G B Pant Hospital, New Delhi.
Indian J Gastroenterol. 1993 Oct;12(4):135-41.
Corrosive injury to the UGI tract is a common problem and has a wide spectrum of presentations. Unlike in the West, where lye ingestion is more frequent, corrosive injury in India is more commonly due to acids. Depth of the injury is the most important factor which determines the outcome. Endoscopy done soon after corrosive ingestion is safe and is very helpful in assessing the extent and severity of injury and in planning proper management of these patients. At present no therapy has been proven to be effective for prevention of stricture formation. Endoscopic dilatation seems to be the treatment of choice for management of most esophageal strictures with very good short and long term results. Surgery should be considered only when dilatation fails.
上胃肠道腐蚀性损伤是一个常见问题，临床表现多样。与西方不同，在西方碱液摄入更为常见，而在印度腐蚀性损伤更常见于酸液摄入。损伤深度是决定预后的最重要因素。腐蚀性物质摄入后尽早进行内镜检查是安全的，对于评估损伤的范围和严重程度以及规划这些患者的恰当治疗非常有帮助。目前尚无被证明对预防狭窄形成有效的治疗方法。内镜扩张似乎是治疗大多数食管狭窄的首选方法，短期和长期效果都非常好。只有在扩张失败时才应考虑手术。
