Evaluation of esophageal injuries secondary to ingestion of unlabeled corrosive substances: pediatric case series.
Esophageal or gastric injuries secondary to caustic substance ingestion is still an important issue in developing countries. Its clinical spectrum can vary from absence of mucosal injury to complications such as severe burns, strictures and perforation. Physical examination and first endoscopic evaluation are very important in the diagnosis. The objective of this study is to present 154 children who were undergone upper gastrointestinal endoscopy because of caustic substance ingestion including descaler, degreaser, unlabeled bleach, drain opener, surface cleaner, dishwasher rinse aid, hydrochloric acid. Sixty-nine children had positive oropharyngeal findings. Sixtythree children were found to have burns in the first endoscopic examination and forty of these burns were severe burn. In the follow-up, twenty children developed strictures that were undergone dilatation program. Fourteen children in the dilatation program had successful dilatation and intralesional steroid injection. However three children had undergone colonic interposition and three undergone laparoscopic gastroduodenostomy and gastrojejunostomy.
Ankara University, School of Medicine, Department of Pediatric Surgery, Ankara, Turkey.
Gonul
G
Kucuk
Ankara University, School of Medicine, Department of Pediatric Surgery, Ankara, Turkey.
Gulnur
G
Gollu
Ankara University, School of Medicine, Department of Pediatric Surgery, Ankara, Turkey.
Ufuk
U
Ates
Ufuk University, School of Medicine, Department of Public Health, Ankara, Turkey.
Zeynep A
ZA
Cakmak
Ankara University, School of Medicine, Department of Pediatric Surgery, Ankara, Turkey.
Meltem
M
Kologlu
Ankara University, School of Medicine, Department of Pediatric Surgery, Ankara, Turkey.
Aydın
A
Yagmurlu
Ankara University, School of Medicine, Department of Pediatric Surgery, Ankara, Turkey.
Tanju
T
Aktug
Ankara University, School of Medicine, Department of Pediatric Surgery, Ankara, Turkey.
Huseyin
H
Dindar
Ankara University, School of Medicine, Department of Pediatric Surgery, Ankara, Turkey.
Ahmet M
AM
Cakmak
D000293:Adolescent; D002057:Burns, Chemical / Q000209:etiology* / Q000517:prevention & control; D002424:Caustics / Q000633:toxicity*; D002648:Child; D002675:Child, Preschool; D004947:Esophagus / Q000293:injuries*; D005260:Female; D006801:Humans; D007223:Infant; D015601:Injury Severity Score; D008297:Male; D012189:Retrospective Studies
D002424:Caustics
caustics; child; eating; esophagus; universal precautions