Koroziv madde alımı olan çocukların uzun dönem akciğer kapasitelerinin spirometri ile değerlendirilmesi
Abstract
Amaç: Bu çalışmada korozif madde alımı sonucu özofagus striktürü gelişen ve mükerrer defa özofagus dilatasyonu işlemi yapılan hastaların uzun dönem akciğer durumlarının spirometri ile değerlendirilmesi amaçlanmıştır.
Yöntem: Ocak 2014 – Mayıs 2021 tarihleri arasında merkezimize KMA nedeniyle başvuran hastalar retrospektif olarak incelendi. Hastalar; Grup 1: Kontrol grubu (n=23) Grup 2: Korozif madde alımı sonrası dilatasyon işlemine ihtiyacı olmayan ve kür sağlanmış hastalar (n=9) Grup 3: Korozif madde alımına bağlı özofagus striktürü gelişen ve genel anestezi altında dilatsyon işlemi uygulanan hastalar (n=9) olarak üç gruba ayrıldı. Değerlendirme için; 1. Saniyedeki zorlu ekspiratuar akım hızı (FEV1), zorlu vital kapasite (FVC), FEV1/FVC ve zorlu ekspirasyon ortası akım hızı (FEF 25-75) parametreleri kaydedildi.
Bulgular: Yapılan istatistik analizi sonuçlarına göre FEV1, FVC ve FEF 25-75 gibi değerlerin üzerinde dilatasyon işleminin etkisi incelendiğinde Grup 1-2 için FEV1 (p=0.02) ve FVC (p =0,01) değerleri arasındaki fark istatistiksel olarak anlamı, grup1-3 ve grup 2-3 arasında anlamsız (p>0,05) saptandı. FEV1/FVC (p>0.05) ve FEF 25-75 (p>0.05) arasında hiçbir grupta anlamlı fark saptanmadı.
Sonuç: Hastalarımızın spirometre ile değerlendirilen akciğer kapasitelerinde uzun dönem olumsuz bir etkilenme tespit edilememiştir.
Keywords
References
- Shalaby R, Shams A, Soliman SM, Samaha A, HA Ibrahim. Laparoscopically assisted transhiatal esophagectomy with esophagogastroplasty for post-corrosive esophageal stricture treatment in children. Pediatr. Surg. Int. 2007;23: 545-549. https://doi.org/10.1007/s00383-007-1888-8
- Vandenplas Y. Management of benign esophageal strictures in children. Pediatr Gastroenterol Hepatol Nutr 2017; 20: 211. https://doi.org/10.5223/pghn.2017.20.4.211
- Goussard P, Mfingwana L, Morrison J, Ismail Z, Wagenaar R, Janson J. Corrosive injury of the trachea in children. Clinical case reports 2019;7:1999-2003. https://doi.org/10.1002/ ccr3.2395
- Celikkaya ME, Atici A, El C, Akcora B. A common public health problem: corrosive ingestion in children. Journal of Dr. Behcet Uz Children’s Hospital 2018;8:184-188. https://doi.org/10.5222/buchd.2018.93823
- Chibishev AA, Simonovska N, Bozinovska C, Pereska Z, Smokovski I, Glasnovic M. Respiratory complications from acute corrosive poisonings in adults. Materia socio-medica 2014; 26: 80. https://doi.org/10.5455/msm.2014.26.80-83
- Atıcı A, Dikmen N, Çelikkaya ME, Çiğdem E, Akçora B. Evaluation of long-term lung capacity using spirometry in patients who underwent bronchoscopy due to foreign body aspiration. Çukurova med. j. 2019; 3: 932-935. https://doi. org/10.17826/cumj.469304
- Babl FE, Kharsch S, Woolf A. Airway edema following household bleach ingestion. Am. J. Emerg. Med. 1998; 16: 514-516. https://doi.org/10.1016/S0735-6757(98)90006-7
- Williams DC. Acute respiratory obstruction caused by ingestion of a caustic substance. British medical journal (Clinical research ed.) 1985; 291(6491): 313. https://doi.org/10.1136/ bmj.291.6491.313-a
- Çiçek M, Kanar T, Kutluk G. Çocuk olguda gastrointestinal korozif hasara neden olan nadir bir etken: sirke ruhu. J Curr Pediatr 2020; 18(2): 285-289. https://doi.org/10.4274/ jcp.2020.0025
- Alessia G, Barbara B, Daniela F, Elisabetta M, Federica G, Fabiola F, et al. Endoscopic dilation in pediatric esophageal strictures: a literature review. Acta Bio Medica: Atenei Parmensis 2018; 89(8): 27. https://doi.org/10.23750/abm.v89i8-S.7862
- Turner A, Robinson P. Respiratory and gastrointestinal complications of caustic ingestion in children. Emerg. Med. 2005;22(5):359-361. https://doi.org/10.1136/ emj.2004.015610
- Osama B, Almaimani MO. Complications of esophageal strictures dilatation in children. Saudi Med. J, 2020; 41(7): 720-725. https://doi.org/10.15537/smj.2020.7.25166
- Divarci E, Kilic O, Dokumcu Z, Ozcan C, Erdener A. Topical mitomycin C application is effective even in esophageal strictures resistant to dilatation therapy in Children. Surg Laparosc Endosc Percutan Tech 2017; 27: 96-100. https://doi. org/10.1097/SLE.0000000000000462
Abstract
Objective: The study aimed to evaluate the long-term lung capacities, measured by spirometry, of patients who had developed esophageal stricture due to the ingestion of corrosive substances and underwent repeated esophageal dilatation.
Method: Patients who had ingested corrosive substances between January 2014–May 2021 were evaluated retrospectively. The patients were divided into three groups: Group 1: Control n=23), Group 2: Patients who do not require dilatation after the ingestion of corrosive substances and who are completely healed (n=9), and Group 3: Patients who developed esophageal stricture due to the ingestion of corrosive substances and who underwent dilatation (n=9). FEV1, FVC, FEV1/FVC and FEF 25-75 parameters were recorded for evaluation.
Results: The difference between FEV1 (p=0.02) and FVC (p=0.01) values for Group 1 and Group 2 was statistically significant. The difference between FEV1 (p=0.02) and FVC (p=0.01) values was not significant between group 2-3 (p>0.05). Also, there was no significant difference between FEV1/FVC (p>0.05) and FEF 25-75 (p>0.05) in any group.
Conclusion: No long-term negative effect was found on the lung capacities of any patients as evaluated by spirometry.
Keywords
References
- Shalaby R, Shams A, Soliman SM, Samaha A, HA Ibrahim. Laparoscopically assisted transhiatal esophagectomy with esophagogastroplasty for post-corrosive esophageal stricture treatment in children. Pediatr. Surg. Int. 2007;23: 545-549. https://doi.org/10.1007/s00383-007-1888-8
- Vandenplas Y. Management of benign esophageal strictures in children. Pediatr Gastroenterol Hepatol Nutr 2017; 20: 211. https://doi.org/10.5223/pghn.2017.20.4.211
- Goussard P, Mfingwana L, Morrison J, Ismail Z, Wagenaar R, Janson J. Corrosive injury of the trachea in children. Clinical case reports 2019;7:1999-2003. https://doi.org/10.1002/ ccr3.2395
- Celikkaya ME, Atici A, El C, Akcora B. A common public health problem: corrosive ingestion in children. Journal of Dr. Behcet Uz Children’s Hospital 2018;8:184-188. https://doi.org/10.5222/buchd.2018.93823
- Chibishev AA, Simonovska N, Bozinovska C, Pereska Z, Smokovski I, Glasnovic M. Respiratory complications from acute corrosive poisonings in adults. Materia socio-medica 2014; 26: 80. https://doi.org/10.5455/msm.2014.26.80-83
- Atıcı A, Dikmen N, Çelikkaya ME, Çiğdem E, Akçora B. Evaluation of long-term lung capacity using spirometry in patients who underwent bronchoscopy due to foreign body aspiration. Çukurova med. j. 2019; 3: 932-935. https://doi. org/10.17826/cumj.469304
- Babl FE, Kharsch S, Woolf A. Airway edema following household bleach ingestion. Am. J. Emerg. Med. 1998; 16: 514-516. https://doi.org/10.1016/S0735-6757(98)90006-7
- Williams DC. Acute respiratory obstruction caused by ingestion of a caustic substance. British medical journal (Clinical research ed.) 1985; 291(6491): 313. https://doi.org/10.1136/ bmj.291.6491.313-a
- Çiçek M, Kanar T, Kutluk G. Çocuk olguda gastrointestinal korozif hasara neden olan nadir bir etken: sirke ruhu. J Curr Pediatr 2020; 18(2): 285-289. https://doi.org/10.4274/ jcp.2020.0025
- Alessia G, Barbara B, Daniela F, Elisabetta M, Federica G, Fabiola F, et al. Endoscopic dilation in pediatric esophageal strictures: a literature review. Acta Bio Medica: Atenei Parmensis 2018; 89(8): 27. https://doi.org/10.23750/abm.v89i8-S.7862
- Turner A, Robinson P. Respiratory and gastrointestinal complications of caustic ingestion in children. Emerg. Med. 2005;22(5):359-361. https://doi.org/10.1136/ emj.2004.015610
- Osama B, Almaimani MO. Complications of esophageal strictures dilatation in children. Saudi Med. J, 2020; 41(7): 720-725. https://doi.org/10.15537/smj.2020.7.25166
- Divarci E, Kilic O, Dokumcu Z, Ozcan C, Erdener A. Topical mitomycin C application is effective even in esophageal strictures resistant to dilatation therapy in Children. Surg Laparosc Endosc Percutan Tech 2017; 27: 96-100. https://doi. org/10.1097/SLE.0000000000000462
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original Articles |
| Authors | |
| Publication Date | December 15, 2022 |
| Submission Date | October 7, 2021 |
| Acceptance Date | April 17, 2022 |
| Published in Issue | Year 2022 Volume: 13 Issue: 47 |
