The white blood cell count can predict severe injury caused by caustic ingestion

Objective: It is unclear whether esophagogastroduodenoscopy (EGD) should be performed early on in patients receiving caustic substances. In this study, the relationship between white blood cell (WBC) counts and patients with early EGD and upper gastrointestinal system injuries was investigated. Method: Patients who applied for urgent care because of caustic substance ingestion between January 2011 and December 2014 were retrospectively investigated. The esophageal, gastric and duodenal injuries were graded according to the method of Zargar. Zargar grade 0 and 1 injuries were defined as low scores and others were defined as high scores (Grade 2a to 3b injuries). The WBC counts in these patients have been studied. Results: 173 of 242 patients were excluded from the research. Our research was conducted with 69 patients. The most common caustic agent ingested was alkaline (66.7%). The number and severity of duodenal injuries was less than those of esophagus and stomach. Sensitivity and specificity values for patients with WBC count ≥11.95 K/μL were found to be 64% and 91%, respectively. Conclusion: Higher white blood cell counts in patients with caustic exposure can be an important predictor of the severity of injury and the need for early esophagogastroduodenoscopy.

Beyaz kan hücre sayısı kostik alımı nedeniyle oluşan ciddi yaralanmayı öngörebilir

Amaç: Kostik madde alan hastaların hangilerine erken dönemde özofagogastroduodenoskopi yapılması gerektiği net değildir. Bu çalışmada, beyaz kan hücre sayısı ile erken dönem özofagogastroduodenoskopi gereksinimi olabilecek hastalar ve üst gastrointestinal sistem yaralanmaları arasındaki ilişki araştırıldı. Yöntem: Ocak 2011 ile aralık 2014 tarihleri arasında kostik madde alımı nedeni ile acil servise başvuran hastalar geriye dönük araştırıldı. Özafagus, mide ve duodenumdaki yaralanmalar Zargar metoduna göre derecelendirildi. Zargar yaralanma derecesi 0 ve 1 olanlar düşük skorlu diğerleri ise yüksek skorlu olarak tanımlandı (2a-3b yaralanmalar). Bu hastalardaki beyaz kan hücresi sayısı incelendi. Bulgular: Çalışmamız 69 hasta ile yapıldı. En sık alınan kostik madde alkalin (%66,7) idi. Duodenal yaralanma sayısı ve şiddeti özafagus ve mideye göre daha azdı. Çalışmamızda, beyaz kan hücre sayısı ≥11,95 K/µL olan hastalar için sensivite ve spesifite değerleri sırasıyla %64 ve %91 idi. Sonuç: Kostik madde maruziyeti olan hastalarda yüksek beyaz kan hücre sayısı yaralanmanın şiddetini ve erken özofagogastroduodenoskopi gerekliliğini öngörmesi açısından önemli bir bulgu olabilir.

Kaynakça

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Kaynak Göster

İzmir Tepecik Eğitim Hastanesi Dergisi
  • ISSN: 1305-7073
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 1991

11.5b6.1b

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