جستجوی مقالات مرتبط با کلیدواژه « Endoscopic findings » در نشریات گروه « پزشکی »

Accidental ingestion of caustic substances can cause serious damage to the digestive system. This study was conducted with the aim of investigating the incidence of esophageal stricture within one year after accidental ingestion of caustic substances and its relationship with the first endoscopic findings in children.

The present study was a retrospective and cross-sectional study that has been conducted for 3 years on children with accidental ingestion of caustic substances referred to Shahid Sadoughi Hospital in Yazd City (August 2015-2015). Demographic information, type and amount of ingested material, initial symptoms, initial endoscopic findings and degree of esophageal tissue burn were recorded and the patients were followed up for one year. Finally, the data were analyzed by SPSS version 22 software.

In this study, 55 children were evaluated, their average age was 3.19 years. Participants consisted of 23 (41.8%) girls and 32 (58.2%) boys. Children had ingested pipe openers chemicals (30.9%), bleach liquid (29.1%) and  hydrochloric acid (12.7%), respectively. Initial endoscopic findings were normal in 45.5% of children, and the most damage was grade IIb and IIa. The incidence rate of esophageal stricture in month later was 47.3%, and in the year later, the total incidence of stricture and GOO was 27.3% (16.4% of esophageal stricture and 7.3% of stricture and GOO).

The present study showed that esophageal injury following the accidental ingestion of caustic substances is common in children, and the presence of symptoms in the patients at the beginning of the visit can be associated with higher grade injuries, and the occurrence of stricture is more common after severe injuries.

End-stage renal disease is increasing and kidney transplantation is the treatment of the choice; before kidney transplantation, patients undergo on hemodialysis and peritoneal dialysis. Digestive problems such as peptic ulcer, cholecystitis, diseases of the colon, and digestive tract malignancies increase the risk of post-transplantation problems. This study aimed to evaluate endoscopic findings and their association with treatment before kidney transplantation.
In this cross-sectional study, 334 kidney-transplant candidates in the years 2006-2011 were entered via census sampling and their information was extracted from patient files in Alzahra and Noor hospitals, Isfahan, Iran, using a questionnaire.
Findings: The most common finding was hiatal hernia with prevalence of 29%, and then, gastric erosions (17.1%), duodenal erosions (15.9%), and antral erosions (15.6%), respectively; there was no angiodysplasia. Comparing the prevalence of endoscopic findings showed no significant different between the patients on hemodialysis and peritoneal dialysis. In our study, hemoglobin levels were 10.8 and 10.5 g/dl in patients on hemodialysis and peritoneal dialysis, respectively; which was not significantly different.
It seems that there is no relationship between the type of replacement therapy before transplantation and the prevalence of endoscopic findings as well as hemoglobin concentration; but additional studies to clarify this issue are advised.