Salimi M, Hosseinpour H, Shahriarirad R, Esfandiari S, Pooresmaeel F, Sarejloo S, Foroutan H. Utilization of chest tube as an esophagus stent in pediatric caustic injuries: A retrospective study. World J Clin Pediatr 2022; 11(5): 419-428 [PMID: 36185094 DOI: 10.5409/wjcp.v11.i5.419]
Corresponding Author of This Article
Hamidreza Foroutan, MD, Full Professor, Department of Surgery, Shiraz Laparoscopic Research Center, Shiraz University of Medical Sciences, Zand Avenue, Shiraz 7138433608, Iran. maryamsalimi9674@gmail.com
Research Domain of This Article
Surgery
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Maryam Salimi, Department of Orthopaedic Surgery, Shiraz University of Medical Sciences, Shiraz 7138433608, Iran
Hamidreza Hosseinpour, Samira Esfandiari, Fatemeh Pooresmaeel, Department of Surgery, Shiraz University of Medical Sciences, Shiraz 7138433608, Iran
Reza Shahriarirad, Department of Surgery, Shiraz 7138433608, Iran
Shirin Sarejloo, Department of Cardiology, Shiraz University of Medical Sciences, Shiraz 07138433608, Iran
Hamidreza Foroutan, Department of Surgery, Shiraz Laparoscopic Research Center, Shiraz University of Medical Sciences, Shiraz 7138433608, Iran
Author contributions: Foroutan H designed and performed the research; Salimi M and Hosseinpour H designed the research and wrote the paper; Shahriarirad R designed the research and supervised the report; Esfandiari S designed the research and contributed to the analysis; Pooresmaeel F and Sarejloo S provided clinical advice.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the Shiraz University of Medical Sciences.
Informed consent statement: Written informed consent was obtained from the patients’ parent/guardian in our study. The purpose of this research was completely explained to the patient’s parents/guardian and was assured that their information will be kept confidential by the researcher. The present study was approved by the Medical Ethics Committee of Shiraz University of Medical Sciences. Consent was obtained from the patient parent/guardian regarding the publication of this study.
Conflict-of-interest statement: All authors have no financial relationships to disclose.
Data sharing statement: The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hamidreza Foroutan, MD, Full Professor, Department of Surgery, Shiraz Laparoscopic Research Center, Shiraz University of Medical Sciences, Zand Avenue, Shiraz 7138433608, Iran. maryamsalimi9674@gmail.com
Received: June 14, 2022 Peer-review started: June 14, 2022 First decision: June 27, 2022 Revised: July 17, 2022 Accepted: August 12, 2022 Article in press: August 12, 2022 Published online: September 9, 2022 Processing time: 85 Days and 0 Hours
ARTICLE HIGHLIGHTS
Research background
Using esophageal stenting for future stricture formation prevention is very controversial, with no clear guidelines for their use. The idea is to avoid contact with opposing sides to decrease adherence and following stricture formation. Even though this approach has been shown to decrease the rate of stricture formation.
Research Motivation
Different stents have been introduced so far, however, the effectiveness, expensiveness, accessibility, and problems that these stents cause for the patients are still challenging issues.
Research objectives
To introduce a new esophageal stenting method by utilizing a chest tube as an available and accessible device in emergency departments for patients suffering from caustic injuries.
Research methods
Collect demographic data of children with caustic injuries respectively, patients who had stage IIB and III of corrosive injuries were eligible for esophageal chest tube insertion.
Research results
Twenty-nine patients (50.8%) recovered with dilatation alone, 16 needed esophageal repair, and an esophageal chest tube (ECT) was inserted for 7 patients. None of the 7 ECT cases required gastrostomy or jejunostomy.
Research conclusions
We successfully report utilizing a chest tube, as an available device in almost every emergency department, as a method for esophageal stenting. This method is could be an alternative in developing countries with limited utilities as well as centers with restricted access to modern equipment.
Research perspectives
The chest tube has many advantages, it has a radiopaque line that could be used to monitor it, and patients could get an oral diet after stabilization. it is also costly and broadly available. By keeping the advantage and improving its problem, it could be used more efficiently. Moreover, it should be examined during different trials.
