Berkovits R N, Bos C E, Wijburg F A, Holzki J
Department of Otolaryngology, University Hospital Rotterdam, The Netherlands.
J Laryngol Otol. 1996 Nov;110(11):1041-5. doi: 10.1017/s0022215100135716.
Caustic ingestion can lead to oesophageal stenosis. We studied 251 patients, 205 of whom were children, in a sixteen-year period. Seventeen patients, of whom one was an adult, acquired deep burns in the oesophagus which had to be treated, to prevent the development of oesophageal strictures. These patients were treated with long-term stenting of the oesophagus with specially designed, silicone rubber stents, impregnated with silicone oil 20 cS, designed by one of us (R.N.P.B.) as the only treatment. Of all models, the twin-tube dilator was the most satisfactory. No corticosteroids were administered. Only one patient developed a mild stenosis. It is therefore our opinion that, when life-saving operations are not indicated, twin-tube stenting of the oesophagus is helpful in treating caustic lesions of the oesophagus and will prevent stricture formation. Corticosteroids were not given in this series, and should be abandoned in the treatment of caustic lesions.
腐蚀性物质摄入可导致食管狭窄。在16年的时间里，我们研究了251例患者，其中205例为儿童。17例患者（其中1例为成人）食管发生深度烧伤，必须进行治疗以防止食管狭窄的形成。这些患者采用我们其中一人（R.N.P.B.）设计的、专门设计的、浸渍有20厘沲硅油的硅橡胶支架对食管进行长期支架置入术作为唯一治疗方法。在所有型号中，双管扩张器最为令人满意。未使用皮质类固醇。只有1例患者出现轻度狭窄。因此，我们认为，当不需要进行挽救生命的手术时，食管双管支架置入术有助于治疗食管腐蚀性病变并防止狭窄形成。本系列未使用皮质类固醇，在腐蚀性病变的治疗中应摒弃使用皮质类固醇。
