1. [Is antisecretory therapy of patients with chemical burn of the esophagus mandatory?].
- Author
-
Abakumov MM, Pinchuk TP, and ll'iashenko LG
- Subjects
- Adult, Burns, Chemical diagnosis, Burns, Chemical drug therapy, Diagnosis, Differential, Duodenogastric Reflux diagnosis, Endoscopy, Digestive System, Esophageal Stenosis complications, Esophageal Stenosis diagnosis, Esophageal Stenosis drug therapy, Esophageal Stenosis physiopathology, Esophagitis complications, Esophagitis diagnosis, Esophagitis drug therapy, Esophagitis physiopathology, Esophagitis, Peptic etiology, Female, Gastric Acid metabolism, Gastric Acidity Determination, Gastroesophageal Reflux complications, Gastroesophageal Reflux diagnosis, Gastroesophageal Reflux physiopathology, Humans, Male, Middle Aged, Time Factors, Anti-Ulcer Agents therapeutic use, Burns, Chemical complications, Duodenogastric Reflux etiology, Esophageal Stenosis chemically induced, Esophagitis chemically induced, Gastroesophageal Reflux drug therapy, Gastroesophageal Reflux etiology, Histamine H2 Antagonists therapeutic use
- Abstract
Intragastric pH-metry and esophagogastroduodenoscopy has been performed in 64 patients with chemical burn of the esophagus. It has been revealed that 51.6% patients had hyperacidity, 25% - normacidity, and 23.4% - hypoacidity. Gastroesophageal reflux has been diagnosed in 50% patients according to pH-metry examination and in 80-100% patients according to esophagogastroduodenoscopy, duodenogastric reflux - in 25 and 34.4% cases, respectively. A direct correlation exists between gastroesophageal reflux and basal gastric acidity, severity of chemical burn of the esophagus. It is concluded that antisecretory therapy is mandatory in complex treatment of patients with chemical burn of the esophagus.
- Published
- 2007