title: Evaluation of 968 children with corrosive substance ingestion.
abstract: OBJECTIVE
  The aim of the study was to evaluate the etiology, treatment, and prognosis in children who had presented at our clinic with corrosive substance ingestion and comparison of our results with the literature.
  
  
  METHODS
  The patients were put on nil by mouth and broad-spectrum antibiotics were administered. Oral fluids were started for patients whose intraoral lesions resolved and who could swallow their saliva. Steroids were not given, a nasogastric catheter was not placed, and early endoscopy was not used.
  
  
  RESULTS
  A total of 968 children presented at our clinic for corrosive substance ingestion during the 22-year period. The stricture development rate was 13.5%. Alkali substance ingestion caused a stricture development rate of 23%. A total of 54 patients required 1-52 sessions (mean 15 ±12) of dilatation.
  
  
  CONCLUSIONS
  We do not perform early endoscopy, administer steroids, or place a nasogastric catheter at our clinic for patients who had ingested a corrosive substance. This approach has provided results similar to other series. We feel that determining the burn with early esophagoscopy when factors that prevent or decrease the development of corrosive strictures will be very important.
authors.affiliation: Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Ankara, Turkey.
authors.forename: İbrahim
authors.initials: İ
authors.lastname: Karaman
authors.affiliation: Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Ankara, Turkey.
authors.forename: Orhan
authors.initials: O
authors.lastname: Koç
authors.affiliation: Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Ankara, Turkey.
authors.forename: Ayşe
authors.initials: A
authors.lastname: Karaman
authors.affiliation: Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Ankara, Turkey.
authors.forename: Derya
authors.initials: D
authors.lastname: Erdoğan
authors.affiliation: Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Ankara, Turkey.
authors.forename: Yusuf Hakan
authors.initials: YH
authors.lastname: Çavuşoğlu
authors.affiliation: Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Ankara, Turkey.
authors.forename: Çağatay Evrim
authors.initials: ÇE
authors.lastname: Afşarlar
authors.affiliation: Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Ankara, Turkey.
authors.forename: Engin
authors.initials: E
authors.lastname: Yilmaz
authors.affiliation: Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Ankara, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Ertürk
authors.affiliation: Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Ankara, Turkey.
authors.forename: Özlem
authors.initials: Ö
authors.lastname: Balci
authors.affiliation: Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Ankara, Turkey.
authors.forename: Ismet Faruk
authors.initials: IF
authors.lastname: Özgüner
keywords: Caustic ingestion; corrosive ingestion; esophageal stricture; esophagoscopy
references.citation: Pediatr Surg Int. 2004 Dec;20(11-12):824-8
references.pmid: 15538587
references.citation: J Pediatr Surg. 2007 Apr;42(4):636-40
references.pmid: 17448758
references.citation: Toxicol Rev. 2005;24(2):125-9
references.pmid: 16180932
references.citation: Clin Pediatr (Phila). 2006 Jun;45(5):435-8
references.pmid: 16891276
references.citation: Gastrointest Endosc. 2008 Sep;68(3):434-9
references.pmid: 18448103
references.citation: Pediatr Surg Int. 2005 Feb;21(2):78-80
references.pmid: 15619090
references.citation: Pediatr Surg Int. 2004 Mar;20(3):207-10
references.pmid: 15083331
references.citation: Pediatr Surg Int. 2010 Mar;26(3):251-5
references.pmid: 19936762
references.citation: Int J Pediatr Otorhinolaryngol. 2006 Jun;70(6):1103-7
references.pmid: 16574248
references.citation: J Pediatr Gastroenterol Nutr. 2001 Jan;32(1):50-3
references.pmid: 11176325
references.citation: Dis Esophagus. 2009;22(1):89-94
references.pmid: 18847446
references.citation: Acta Chir Belg. 2007 Jan-Feb;107(1):49-52
references.pmid: 17405598