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. 1978 Nov;188(5):675–678. doi: 10.1097/00000658-197811000-00016

Treatment of caustic injuries of the esophagus: a ten year experience.

M M Kirsh, A Peterson, J W Brown, M B Orringer, F Ritter, H Sloan
PMCID: PMC1396774  PMID: 718293

Abstract

The methods of managing 32 patients sustaining caustic injuries to the esophagus are assessed. Treatment of these patients must be individualized according to the type of caustic ingested, the degree of burn and other clinical signs. While an aggressive approach is favored for second and third-degree burns in the form of early esophago-gastrectomy with subsequent colon interposition, operation is not necessary. In all patients, particularly those with first-degree burns. The use of antibiotics is recommended as soon as the diagnosis of esophageal injury is established. The efficacy of steroids in preventing stricture formation, especially with third-degree burns, is questioned.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Gago O., Ritter F. N., Martel W., Orvald T. O., Delavan J. W., Dieterle R. V., Kirsh M. M., Kahn D. R., Sloan H. Aggressive surgical treatment for caustic injury of the esophagus and stomach. Ann Thorac Surg. 1972 Mar;13(3):243–250. doi: 10.1016/s0003-4975(10)64845-x. [DOI] [PubMed] [Google Scholar]
  2. Haller J. A., Jr, Andrews H. G., White J. J., Tamer M. A., Cleveland W. W. Pathophysiology and management of acute corrosive burns of the esophagus: results of treatment in 285 children. J Pediatr Surg. 1971 Oct;6(5):578–584. doi: 10.1016/0022-3468(71)90382-4. [DOI] [PubMed] [Google Scholar]
  3. Kirsh M. M., Ritter F. Caustic ingestion and subsequent damage to the oropharyngeal and digestive passages. Ann Thorac Surg. 1976 Jan;21(1):74–82. doi: 10.1016/s0003-4975(10)64894-1. [DOI] [PubMed] [Google Scholar]
  4. Leape L. L., Ashcraft K. W., Scarpelli D. G., Holder T. M. Hazard to health--liquid lye. N Engl J Med. 1971 Mar 18;284(11):578–581. doi: 10.1056/NEJM197103182841104. [DOI] [PubMed] [Google Scholar]
  5. MIDDELKAMP J. N., CONE A. J., OGURA J. H., HIGGINS C. R., Jr, LOWE G. A. Endoscopic diagnosis and steroid and antibiotic therapy of acute lye burns of the esophagus. Laryngoscope. 1961 Nov;71:1354–1362. doi: 10.1288/00005537-196111000-00003. [DOI] [PubMed] [Google Scholar]
  6. Middelkamp J. N., Ferguson T. B., Roper C. L., Hoffman F. D. The management and problems of caustic burns in children. J Thorac Cardiovasc Surg. 1969 Mar;57(3):341–347. [PubMed] [Google Scholar]
  7. ROSENBERG N., KUNDERMAN P. J., VROMAN L., MOOLTEN S. E. Prevention of experimental esophageal stricture by cortisone. II. Control of suppurative complications by penicillin. AMA Arch Surg. 1953 May;66(5):593–598. doi: 10.1001/archsurg.1953.01260030610007. [DOI] [PubMed] [Google Scholar]
  8. Ritter F. N., Gago O., Kirsh M. M., Komorn R. N., Orvald T. O. The rationale of emergency esophagogastrectomy in the treatment of liquid caustic burns of the esophagus and stomach. Ann Otol Rhinol Laryngol. 1971 Aug;80(4):513–520. doi: 10.1177/000348947108000413. [DOI] [PubMed] [Google Scholar]
  9. Ritter F. N., Newman M. H., Newman D. E. A clinical and experimental study of corrosive burns of the stomach. Ann Otol Rhinol Laryngol. 1968 Oct;77(5):830–842. doi: 10.1177/000348946807700502. [DOI] [PubMed] [Google Scholar]

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