[Assessment of a thirty year long experience in treatment of esophageal caustic stenosis (author's transl)].
Among 457 esophageal stenosis treated between 1954 and 1977, 258 (56%) were caustic stenosis. The treatment of those is the most difficult. Functionnal healding was satisfactory in 93% of the treated cases by dilatations. Four strict rules ought to be observed in the management of this cases. Immediate and long terme antibiotic treatment of the corrosive esophagitis. X rays are the only means to be used during evolution of corrosive esophagitis. No instrumental performance until sufficient cicatrization. Retrograde dilatations after gastrostomy shall be prefered in serious cases. Gastro-esophageal reflux may complicate this evolution and require surgery. Total esophageal replacement can be averted in most cases.
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002057:Burns, Chemical / Q000150:complications / Q000628:therapy*; D004106:Dilatation; D004940:Esophageal Stenosis / Q000139:chemically induced* / Q000150:complications / Q000628:therapy; D004941:Esophagitis / Q000000981:diagnostic imaging / Q000188:drug therapy; D005764:Gastroesophageal Reflux / Q000150:complications; D005774:Gastrostomy; D006801:Humans; D011859:Radiography
D000900:Anti-Bacterial Agents
Bilan de 30 ans de traitement des rétrécissements cicatriciels de l'oesophage.