• Profile
Close

Emergency computed tomography predicts caustic esophageal stricture formation

Annals of Surgery Jun 17, 2019

Bruzzi M, et al. - Researchers sought to compare emergency computed tomography (CT) with endoscopy regarding their accuracy in predicting risks of esophageal stricture in 152 patients (56 males, median age 45) who underwent esophageal preservation after caustic ingestion. A CT classification of esophageal caustic injuries was described: Grade I show normal esophagus; Grade IIa display internal enhancement of the esophageal mucosa and enhancement of the outer wall conferring a “target” aspect; Grade IIb present as a fine rim of external esophageal wall enhancement. The CT and endoscopic (Zargar) classifications were compared in predicting esophageal stricture. Esophageal strictures developed in 56 (37%) patients. For grade I, IIa, and IIb CT injuries, esophageal stricture risk was 0%, 17%, and 83%, respectively, and for endoscopic grade 1, 2a, 2b, and 3a and 3b injuries, esophageal stricture risk was 0, 0, 28, 50, and 76%, respectively. Outcomes suggest the higher performance of emergency CT vs endoscopy in predicting esophageal stricture formation after caustic ingestion. Emergency endoscopy evaluation was not identified as indispensable after caustic ingestion.
Go to Original
Only Doctors with an M3 India account can read this article. Sign up for free or login with your existing account.
4 reasons why Doctors love M3 India
  • Exclusive Write-ups & Webinars by KOLs

  • Nonloggedininfinity icon
    Daily Quiz by specialty
  • Nonloggedinlock icon
    Paid Market Research Surveys
  • Case discussions, News & Journals' summaries
Sign-up / Log In
x
M3 app logo
Choose easy access to M3 India from your mobile!


M3 instruc arrow
Add M3 India to your Home screen
Tap  Chrome menu  and select "Add to Home screen" to pin the M3 India App to your Home screen
Okay