THE ROLE OF EARLY UPPER GASTROINTESTINAL ENDOSCOPY (LESS THAN 24 HOURS AND AFTER) IN THE MANAGEMENT OF CORROSIVE INGESTION IN ADULTS

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KAKAEI F.; SOUMI M.H.; SANEEI B.; MONTAZER S.H.

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Journal: Medical Journal of Mashhad University of Medical Sciences Year:2010 | Volume:53 | Issue:1 Page(s): 37-42

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Title

THE ROLE OF EARLY UPPER GASTROINTESTINAL ENDOSCOPY (LESS THAN 24 HOURS AND AFTER) IN THE MANAGEMENT OF CORROSIVE INGESTION IN ADULTS "LIVER AND GASTROINTESTINAL DISEASES RESEARCH CENTER"

Author(s)

KAKAEI F. | SOUMI M.H. | SANEEI B. | MONTAZER S.H. | Issue Writer Certificate

Keywords

ADULTSQ3

CAUSTIC INJURYQ3

UPPER GASTROINTESTINAL ENDOSCOPYQ3

Abstract

Introduction: Upper gastrointestinal (UGI) endoscopy is the most reliable modality for evaluating patients with CAUSTIC INJURY of GI tract; however there is an ongoing debate on its optimal timing. Materials and Methods: 100 adult patients with definite diagnosis of injury due to corrosive ingestion on direct laryngoscopy were evaluated in Tabriz Emam Khomeini Hospital during a 15-month period. The patients with signs and symptoms indicating a serious internal injury were operated immediately. In other patients, endoscopy was employed and according to timing, patients categorized in two groups; early (<24h) and late endoscopy (>24h). In hospital condition of the two groups was compared. Results: 62 females and 38 males (25.51±9.25 y/o) were recruited. Alkaline materials were used in majority of cases (83%). Eight percent of the patients were operated immediately. Early endoscopy was employed in 37% of patients and 55% underwent late endoscopy. Endoscopy results were normal in 11%, grade I in 36%, grade II in 22%, grade III in 11% and grade IV lesion in 12% of the patients. There was no significant difference between the two groups regarding the need of operation, gap between admission and operation, need of ICU admit and its duration and in hospital morbidity and mortality. However, operation gap and ICU admit were apparently better in early endoscopy group and morbidity was lower in late endoscopy group. Conclusion: Early and late endoscopy did not significantly affect in hospital condition of adult patients with corrosive ingestion. However, early endoscopy was apparently along with better results.

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APA: Copy

KAKAEI, F., SOUMI, M.H., SANEEI, B., & MONTAZER, S.H.. (2010). THE ROLE OF EARLY UPPER GASTROINTESTINAL ENDOSCOPY (LESS THAN 24 HOURS AND AFTER) IN THE MANAGEMENT OF CORROSIVE INGESTION IN ADULTS "LIVER AND GASTROINTESTINAL DISEASES RESEARCH CENTER". MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, 53(1), 37-42. SID. https://sid.ir/paper/51558/en

Vancouver: Copy

KAKAEI F., SOUMI M.H., SANEEI B., MONTAZER S.H.. THE ROLE OF EARLY UPPER GASTROINTESTINAL ENDOSCOPY (LESS THAN 24 HOURS AND AFTER) IN THE MANAGEMENT OF CORROSIVE INGESTION IN ADULTS "LIVER AND GASTROINTESTINAL DISEASES RESEARCH CENTER". MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2010;53(1):37-42. Available from: https://sid.ir/paper/51558/en

IEEE: Copy

F. KAKAEI, M.H. SOUMI, B. SANEEI, and S.H. MONTAZER, “THE ROLE OF EARLY UPPER GASTROINTESTINAL ENDOSCOPY (LESS THAN 24 HOURS AND AFTER) IN THE MANAGEMENT OF CORROSIVE INGESTION IN ADULTS "LIVER AND GASTROINTESTINAL DISEASES RESEARCH CENTER",” MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, vol. 53, no. 1, pp. 37–42, 2010, [Online]. Available: https://sid.ir/paper/51558/en

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