title: [Use of corticosteroids in esophagitis caustic ingestion. Report of two cases].
abstract: Exposure to potentially toxic substances represents 0.3% of annual visits to a pediatric emergency department, being a situation likely to be prevented and that generates a non-negligible morbidity and mortality. The most common route of exposure is the oral and drugs are the products most frequently involved. Esophagitis caustic ingestion of corrosive substances in childhood is now a public health problem in developing countries. Clinical manifestations vary from no injuries serious commitment to high risk of death observed more frequently in patients between one and three years old. In addition to drilling, the most severe complication of esophagitis is caustic stricture formation, which occurs at a frequency of 5% to 47% in severe cases. The role of systemic corticosteroids in preventing caustic esophageal stenosis is still considered controversial, despite the many published reports showing your benefit. We report two cases of pediatric patients with caustic esophagitis IIB Zargar who received systemic corticosteroids with favorable evolution.
authors.affiliation: área de Hospitalización, Servicio de Pediatría del Hospital Regional de Lambayeque. Lambayeque, Perú.
authors.forename: Alexis José
authors.initials: AJ
authors.lastname: Ormeño Julca
mesh_terms: D002057:Burns, Chemical / Q000188:drug therapy* / Q000209:etiology; D002424:Caustics / Q000633:toxicity*; D002675:Child, Preschool; D003907:Dexamethasone / Q000627:therapeutic use*; D004940:Esophageal Stenosis / Q000139:chemically induced / Q000517:prevention & control*; D004941:Esophagitis / Q000139:chemically induced* / Q000188:drug therapy*; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D008297:Male
chemical_list: D002424:Caustics; D005938:Glucocorticoids; D003907:Dexamethasone