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Journals / Anatolian Journal of Emergency Medicine / 2024 / Cilt: 7 Sayı: 4

Evaluation By Computed Tomography Or Endoscopy After The Caustic Ingestion: Is Radiological Evaluation Alone Enough?

Kostik Madde Alımından Sonra Bilgisayarlı Tomografi veya Endoskopi ile Değerlendirme: Sadece Radyolojik Değerlendirme Yeterli mi?

Kerem Kenarlı(Ankara Bilkent City Hospital)0000-0002-5952-2706
Nazmi Gökhan Ünver(Ankara Bilkent City Hospital)0000-0002-9018-6210
Fırathan Sarıaltın(Ankara Bilkent City Hospital)0000-0002-7771-9094
Ahmet Burak Fedai(Ankara Bilkent City Hospital)0000-0002-5707-5009
Erdoğan Deniz(Ankara Bilkent City Hospital)0000-0003-0564-0536
Hasan Tankut Köseoğlu(Ankara Bilkent City Hospital)0000-0002-4819-4460
Mevlüt Hamamcı(Ankara Bilkent City Hospital)0000-0002-2418-1059
Mahmut Yüksel(Ankara Bilkent City Hospital)0000-0002-4727-2834
Pages
148–152
Publication Date
2024-12-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Additionally, for patients identified by CT as having a low likelihood of requiring an endoscopic intervention, treatment and follow-up may be feasible without performing emergency endoscopy.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: We aimed to determine the correlation between endoscopic and computed tomography (CT) grading scores in patients presenting after caustic ingestion and to evaluate their effectiveness in predicting the severity of lesions.
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Key Findings & Data:Material and Methods: Patients aged 18 and older who presented to our emergency department due to caustic ingestion between 2019 and 2023 were included in the study.
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Conclusion & Impact:Additionally, for patients identified by CT as having a low likelihood of requiring an endoscopic intervention, treatment and follow-up may be feasible without performing emergency endoscopy.
🔬Design:Klinik Araştırma
📍Scope:2019 Verileri
⚙️Variables:Kostik madde alımı · bilgisayarlı tomografi · Zargar sınıflaması

Abstract

Aim: We aimed to determine the correlation between endoscopic and computed tomography (CT) grading scores in patients presenting after caustic ingestion and to evaluate their effectiveness in predicting the severity of lesions. Material and Methods: Patients aged 18 and older who presented to our emergency department due to caustic ingestion between 2019 and 2023 were included in the study. Clinical records of the patients were retrospectively analyzed. Results: A total of 57 patients (27 males, 47.4%; 30 females, 52.6%) were included in the study. The mean age of the patients was 41.6 (±17.0) years. CT findings and emergency endoscopic evaluation results at the time of emergency department presentation were compared. When the CT scores were compared with the Zargar classification, statistically significant similarities were found for both the esophagus and the stomach. Conclusion: This study suggests that CT evaluation in patients presenting with caustic ingestion may be as effective as emergency endoscopy. Additionally, for patients identified by CT as having a low likelihood of requiring an endoscopic intervention, treatment and follow-up may be feasible without performing emergency endoscopy.

Özet

Amaç: Kostik madde alımı sonrası başvuran hastaların endoskopik ve bilgisayarlı tomografi derecelendirme skorları arasındaki korelasyonu belirlemeyi ve lezyon şiddetini öngörmedeki etkinliğini değerlendirmeyi amaçladık. Gereç ve Yöntemler: Çalışmaya hastanemiz acil servisine 20192023 yılları arasında kostik madde alımı sonrası başvuran 18 yaş üzeri hastalar dahil edildi. Hastaların klinik kayıtları retrospektif olarak analiz edildi. Bulgular: Çalışmaya 57 hasta (27 erkek, %47,4; 30 kadın, %52,6) dahil edildi. Hastaların yaş ortalaması 41,6 (±17,0) yıl idi. Acil servise başvuruda yapılan bilgisayarlı tomografi ve acil endoskopik değerlendirme sonuçları karşılaştırıldı. Bilgisayarlı tomografi skoru ile Zargar sınıflaması karşılaştırıldığında sonuçlarda hem özofagus hem de mide için istatistiksel olarak anlamlı benzerlik bulundu. Sonuç: Bu çalışma kostik madde alımı ile başvuran hastalarda bilgisayarlı tomografi değerlendirmesinin acil endoskopi kadar etkili olabileceğini düşündürmektedir. Ayrıca, bilgisayarlı tomografi ile endoskopik girişim gerektirme ihtimalinin düşük olduğu tespit edilen hastalar için, acil endoskopi yapılmadan tedavi ve takip mümkün görünmektedir.

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Cite This Article

Kenarlı, K., Ünver, N. G., Sarıaltın, F., Fedai, A. B., Deniz, E., Köseoğlu, H. T., Hamamcı, M., Yüksel, M. (2024). Evaluation By Computed Tomography Or Endoscopy After The Caustic Ingestion: Is Radiological Evaluation Alone Enough?. Anatolian Journal of Emergency Medicine, Cilt: 7 Sayı: 4, 148–152. https://doi.org/10.54996/anatolianjem.1507630

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