title: Effectiveness of endoscopic balloon dilatation in grade 2a and 2b esophageal burns in children.
abstract: OBJECTIVE
  To evaluate the predictability of the initial endoscopic evaluation of the effectiveness of endoscopic balloon dilatation (EBD) in childhood esophageal strictures caused by corrosive ingestion.
  
  
  METHODS
  Medical records of 635 endoscopies caused by corrosive ingestion between January 2000 and December 2015 in children between the ages of 0 and 18 years were retrospectively analyzed. Among them, five children with grade 2a and 15 with grade 2 b who developed esophageal strictures were evaluated for the effectiveness of endoscopic balloon dilatation.
  
  
  RESULTS
  The stricture rate was 5/136 (3.6%) in grade 2a and 17/25 (68%) in grade 2 b esophageal burns. Strictures with grade 2a burn had seven (1-10) EBD sessions, and grade 2 b had 8.8 (1-30) EBD sessions. For grade 2a burns, the treatment period was 15 months and 18.8 months for grade 2 b burns. Three patients with grade 2 b and two patients with grade 2a are still on the EBD program.
  
  
  CONCLUSIONS
  Initial endoscopy for caustic ingestion and esophageal injury grading may help to provide healthcare givers with information about future stricture formation and management.
authors.affiliation: a Department of Pediatric Surgery , School of Medicine, Mersin University , Mersin , Turkey.
authors.forename: Hakan
authors.identifier: http://orcid.org/0000-0002-9737-3270
authors.initials: H
authors.lastname: Taşkinlar
authors.affiliation: a Department of Pediatric Surgery , School of Medicine, Mersin University , Mersin , Turkey.
authors.forename: Gökhan Berktuğ
authors.initials: GB
authors.lastname: Bahadir
authors.affiliation: a Department of Pediatric Surgery , School of Medicine, Mersin University , Mersin , Turkey.
authors.forename: Doğakan
authors.initials: D
authors.lastname: Yiğit
authors.affiliation: a Department of Pediatric Surgery , School of Medicine, Mersin University , Mersin , Turkey.
authors.forename: Cankat
authors.initials: C
authors.lastname: Erdoğan
authors.affiliation: a Department of Pediatric Surgery , School of Medicine, Mersin University , Mersin , Turkey.
authors.forename: Dinçer
authors.initials: D
authors.lastname: Avlan
authors.affiliation: a Department of Pediatric Surgery , School of Medicine, Mersin University , Mersin , Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Nayci
mesh_terms: D000293:Adolescent; D002057:Burns, Chemical / Q000150:complications*; D002424:Caustics / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D004106:Dilatation / Q000295:instrumentation* / Q000379:methods; D004940:Esophageal Stenosis / Q000209:etiology / Q000601:surgery*; D004945:Esophagoscopy; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D002424:Caustics
keywords: Corrosive; children; dilatation; esophagus; strictures