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The most common cause of esophageal stricture in children is the accidental ingestion
of strong corrosive agents. During a 13-year period between 1976 and 1989, 202 patients
were diagnosed as having caustic esophageal strictures at the Hacettepe University
Children's Hospital Department of Pediatric Surgery. A retrospective clinical study
was performed to find out the place and predictors of a successful outcome for conservative
treatment in children who have caustic esophageal strictures. Two hundred two children,
of whom 145 were male (71.7%) and 57 female (28.3%) with 168 (83.2%) being younger
than 6 years of age, were evaluated retrospectively. Whereas only 49.3% of patients
could be treated within a 12-month period, 50.7% needed more than 1 year, 32.9% needed
more than 2 years, 26.7% needed more than 3 years, and 15.4% needed more than 4 years
of periodic dilations in order to become swallowers through native esophaguses. The
success of conservative treatment has been higher in patients younger than 8 years
of age, and in strictures due to caustics other than lye involving upper third portion
and less than five cm of an esophageal segment. Most caustic esophageal strictures
could have been treated by conservative measures in children.
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Article info
Publication history
Accepted:
April 16,
1991
Identification
Copyright
© 1992 W.B. Saunders Company. All right reserved. Published by Elsevier Inc.
