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Abstract

CONSERVATIVE VERSUS SURGICAL INTERVENTIONS FOR PATIENTS WITH GRADE 2B CORROSIVE INGESTION

Amir Davoodi MD, Esmaeil Hajinasrollah MD, Hadi Mirhashemi MD, Bahador Oshidari MD, Fariborz Rashnoo MD, Mohsen Suri and Milad Moradi

ABSTRACT

Introduction: Chemical burns caused by ingestion of caustic substances, such as acids and alkalis, occur in about two-thirds of cases of accidental ingestion of these substances. Supportive treatment is performed in the Grade I and for Grade II and III explorative laparotomy is done that there is a risk of misdiagnosis and inappropriate treatment of such patients in endoscopy and surgery. In addition to acute phase problems, these types of injuries can cause chronic and complications, such as increasing the chance of malignancy and stenosis and dysphagia. Therefore, timely treatment of these patients can be effective in improving their prognosis. In this case, various therapeutic methods, including preservative and noninvasive treatments, or surgical treatments are used, the selective method depends on the severity of the initial injury, the underlying conditions of the patients, and the complications. Understanding the pathophysiology of the damage can also help in choosing a more effective treatment. Objective: Comparison of the results of medical treatment and surgical intervention in patients with Grade 2b esophagial burn due to ingestion of causative agent and identifying the method with the highest efficacy in order to be able to improve the treatment and reduce side effects by appropriate planning.

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