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Abstract THERE has been variable opinion as to the etiology and treatment of stricture of the esophagus as a result of chemical burns. This confusion has been not only with the general practitioner, internist, and pediatrician, but with the otolaryngologist as well. It is common knowledge that there is a greater preponderance of burns and stricture formation in the esophagus due to lye than to any other chemical. This is evidenced by the fact that a perusal of the literature discloses more articles dealing with lye alone than with all other substances. It was my observation, on my bronchoesophageal service at the Los Angeles County Hospital, that I could not remember any case of esophageal stricture from chemical burn that was not due to lye. Accordingly, case of burns from other causes referred down to me were not given the same drastic treatment accorded those with lye ingestion. Using this References 1. Crowe, J. T.: Poisoning Due to Lye: Value of Bokay Prophylactic Dilation in Prevention of Early Strictures of Esophagus , Am. J. Dis. Child. 68:9-12 ( (July) ) 1944.Crossref 2. Gellis, S. S., and Holt, L. E., Jr.: Treatment of Lye Ingestion by Salzer Method , Ann. Otol. Rhin. & Laryng. 51:1086-1088 ( (Dec.) ) 1942. 3. Hodge, G. E., and Scharfe, E. E.: Stricture of Esophagus , Canad. M. A. J. 37:541-547 ( (Dec.) ) 1937. 4. Kernodle, G. W.; Taylor, G., and Davison, W. C.: Lye Poisoning in Children , Am. J. Dis. Child. 75:135-142 ( (Feb.) ) 1948. 5. Martin, J. M., and Arena, J. M.: Lye Poisoning and Stricture of Esophagus: Report of 50 Cases , South. M. J. 32:286-290 ( (March) ) 1939. 6. Stothers, H. H.: Chemical Burns and Strictures of Esophagus , A. M. A. Arch. Otolaryng. 56:262-276 ( (Sept.) ) 1952.
A.M.A. Archives of Otolaryngology – American Medical Association
Published: Oct 1, 1954
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