Evaluation of esophageal injuries secondary to ingestion of unlabeled corrosive substances: pediatric case series

Kucuk G., GÖLLÜ BAHADIR G., ATEŞ U., Cakmak Z. A., KOLOĞLU M., Yagmurlu A., ...More

ARCHIVOS ARGENTINOS DE PEDIATRIA, no.2, 2017 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Publication Date: 2017
  • Doi Number: 10.5546/aap.2017.eng.e85
  • Journal Name: ARCHIVOS ARGENTINOS DE PEDIATRIA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED)
  • Keywords: child, caustics, esophagus, eating, universal precautions, CAUSTIC INGESTION, CHILDREN
  • Ankara University Affiliated: Yes

Abstract

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. Sixty-three 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.