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VOLUME 19 , ISSUE 12 ( 2015 ) > List of Articles

RESEARCH ARTICLE

Evaluation of 968 children with corrosive substance ingestion

Ibrahim Karaman, Orhan Koç, Ayşe Karaman, Derya Erdoõan, Yusuf Hakan Çavuşoõlu, Çaõatay Evrim Afşarlar, Engin Yilmaz, Ahmet Ertürk, Özlem Balci, Ismet Faruk Özgüner

Keywords : Caustic ingestion, corrosive ingestion, esophageal stricture, esophagoscopy

Citation Information : Karaman I, Koç O, Karaman A, Erdoõan D, Çavuşoõlu YH, Afşarlar ÇE, Yilmaz E, Ertürk A, Balci Ö, Özgüner IF. Evaluation of 968 children with corrosive substance ingestion. Indian J Crit Care Med 2015; 19 (12):714-718.

DOI: 10.4103/0972-5229.171377

License: CC BY-ND 3.0

Published Online: 01-12-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background and Aims: 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. Materials and 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. Conclusion: 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.


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  1. Janousek P, Kabelka Z, Rygl M, Lesný P, Grabec P, Fajstavr J, et al. Corrosive injury of the oesophagus in children. Int J Pediatr Otorhinolaryngol 2006;70:1103-7.
  2. Huang YC, Ni YH, Lai HS, Chang MH. Corrosive esophagitis in children. Pediatr Surg Int 2004;20:207-10.
  3. Atabek C, Surer I, Demirbag S, Caliskan B, Ozturk H, Cetinkursun S. Increasing tendency in caustic esophageal burns and long-term polytetrafluorethylene stenting in severe cases: 10 years experience. J Pediatr Surg 2007;42:636-40.
  4. Dogan Y, Erkan T, Cokugras FC, Kutlu T. Caustic gastroesophageal lesions in childhood: An analysis of 473 cases. Clin Pediatr (Phila) 2006;45:435-8.
  5. Baskin D, Urganci N, Abbasoglu L, Alkim C, Yalçin M, Karadag C, et al. A standardised protocol for the acute management of corrosive ingestion in children. Pediatr Surg Int 2004;20:824-8.
  6. Riffat F, Cheng A. Pediatric caustic ingestion: 50 consecutive cases and a review of the literature. Dis Esophagus 2009;22:89-94.
  7. Pelclová D, Navrátil T. Do corticosteroids prevent oesophageal stricture after corrosive ingestion? Toxicol Rev 2005;24:125-9.
  8. Gün F, Abbasoglu L, Celik A, Salman ET. Early and late term management in caustic ingestion in children: A 16-year experience. Acta Chir Belg 2007;107:49-52.
  9. Betalli P, Falchetti D, Giuliani S, Pane A, Dall′Oglio L, de Angelis GL, et al. Caustic ingestion in children: Is endoscopy always indicated? The results of an Italian multicenter observational study. Gastrointest Endosc 2008;68:434-9.
  10. Tiryaki T, Livanelioglu Z, Atayurt H. Early bougienage for relief of stricture formation following caustic esophageal burns. Pediatr Surg Int 2005;21:78-80.
  11. Gupta SK, Croffie JM, Fitzgerald JF. Is esophagogastroduodenoscopy necessary in all caustic ingestions? J Pediatr Gastroenterol Nutr 2001;32:50-3.
  12. Bicakci U, Tander B, Deveci G, Rizalar R, Ariturk E, Bernay F. Minimally invasive management of children with caustic ingestion: Less pain for patients. Pediatr Surg Int 2010;26:251-5.
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