Corrosive Substance Ingestion in Children

Urgancı, Nafiye; Usta, Merve; Kalyoncu, Derya; Demirel, Emirzad

doi:10.1007/s12098-013-1170-0

Cited by 36 publications

(50 citation statements)

References 19 publications

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“…Overall, the paediatric population is the most afected; the highest risk age groups are infants and pre-schoolers [4][5][6][7][8][9][10][11][12][13]. This may be atributed to the fact that children younger than 6 years are not able to make reasonable decisions about what they should or should not drink in the context of their developmental stage of motor and sensory skills [8].…”

Section: Epidemiologymentioning

confidence: 99%

“…This may be atributed to the fact that children younger than 6 years are not able to make reasonable decisions about what they should or should not drink in the context of their developmental stage of motor and sensory skills [8]. Regarding gender, the higher frequency trend of CI in males could be atributed to both a gender-related biological and learned gender-role behaviour of boys diferent from girls in terms of expressing health and disease and their interaction with risk factors [4][5][6][7][13][14][15]. A recent publication reveals that children with atention deicit/hyperactivity disorder had a higher risk to sufer CI than children without this condition [16].…”

Section: Epidemiologymentioning

confidence: 99%

“…Family organization classiied as extended implies crowded living conditions and enables both parents to work outside home while other family members take care of their children [18]. Other authors have reported that unsafe homes where safety rules regarding caustic substances are lacking have been identiied as a substantial risk factor for CI in children [1,9,13,17,21]. Sarioglu-Buke et al found that children from families where both parents with low educational level and low socioeconomic status had a higher risk for a CI event.…”

Section: Epidemiologymentioning

confidence: 99%

“…Sarioglu-Buke et al found that children from families where both parents with low educational level and low socioeconomic status had a higher risk for a CI event. Urganci et al found in a series of 1709 cases that 30% of the mothers were illiterate [13]. Contini et al described most CI particularly in developing countries as being due to parent's lack of knowledge of the hazards of corrosive substances kept in the house, especially among illiterate individuals [1].…”

Section: Epidemiologymentioning

confidence: 99%

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Caustic Ingestion in Children

Larrosa‐Haro¹,

Sánchez-Ramírez²,

MMesa-Magaña³

et al. 2017

Esophageal Abnormalities

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Caustic ingestion (CI) is an unfortunate event that occurs in families with a poor prevention culture. Its prevalence is unknown in developing countries; it occurs mainly in children < 5 years and is more common in boys. The chemical caustic agents are alkaline (85%) or acid products stored in food or beverage containers without warning labels and safety caps. The immediate symptoms include salivation, oropharyngeal burns, vomiting and oropharyngeal/retrosternal pain. Upper endoscopy is the irst-line tool to identify the type and extension of oesophageal and gastric damage. A barium swallow performed 2-3 weeks after the CI may identify oesophageal stricture. Dysphagia occurs in about one-third of cases. Regarding the nutritional status, children with dysphagia and/or oesophageal strictures may have lower fat reserves or muscle mass than the cases without these complications, meaning impaired nutritional status. All patients should be hospitalized for evaluation and treatment. Hemodynamic stabilization and adequacy of the patient's airway are priorities; vomiting induction and gastric lavage are contraindicated. Methylprednisolone in II-b oesophageal burns for 3 days diminishes the risk of stricture. Selected cases will require oesophageal dilatations, gastrostomy or oesophageal replacement by colon or stomach. There are other promising agents in the management of caustic oesophageal strictures.

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Section: Epidemiologymentioning

confidence: 99%

Section: Epidemiologymentioning

confidence: 99%

Section: Epidemiologymentioning

confidence: 99%

Section: Epidemiologymentioning

confidence: 99%

See 2 more Smart Citations

Caustic Ingestion in Children

Larrosa‐Haro¹,

Sánchez-Ramírez²,

MMesa-Magaña³

et al. 2017

Esophageal Abnormalities

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“…Accidental ingestion of corrosive substances is more commonly seen in early childhood with children younger than fi ve years being more prone to such ingestion 1,2,3,4,5,6 . Ingested corrosives are either acids or alkali 7 .…”

Section: Introductionmentioning

confidence: 99%

Esophageal Stricture Post Accidental Corrosive Ingestion: A Case Report

Joshi

Lamichhane

Ghimire

2017

J. Nepal Paedtr. Soc.

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Corrosive substance ingestion is a seriouspublic health hazard. Mostly, children are victim due to accidental ingestion occurring commonly in less than five years. Whether acid or alkali, the ingestion may have catastrophic effects and the outcomes can vary from minimal injury to perforation and death. Esophagogastroduodenoscopy should be done 12-24 hours of ingestion in order to assess the extent of mucosal injury. Esophageal stricture remains one of the major sequel usually seen after three weeks of ingestion. Endoluminal dilatation is current recommendation for initial treatment of stricture and surgery should follow for strictures refractory to dilatation. We here present a case of a five year old child with accidental corrosive ingestion at her school which led to esophageal stricture. She underwent multiple dilatation of stricture followed by esophageal corrective surgery which again led to post-surgical stricture requiring further dilatations.

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An overview of corrosive injury of the upper gastrointestinal tract: Discussion of types, clinical evaluation, and management procedures

Elkaramany

2018

Adv in Digestive Medicine

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Corrosive substances continue to have an impact on the morbidity of children and adolescents in developing countries despite the intensive and extensive education programs directed at susceptible groups, legislations controlling the strength and handling of these substances, and preventive measures of labeling and packaging. The greatest impact is on children between 1 and 3 years of age. Oral lesions are not predictors of either the extent or the severity of the caustic lesion. Upper endoscopy is the cornerstone of the evaluation of the extent of the gastrointestinal injury. Upper endoscopy intervention, including early evaluation, stent insertion, and, stricture dilatation, is subject to discussion and debate.

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Corrosive Substance Ingestion in Children

Cited by 36 publications

References 19 publications

Caustic Ingestion in Children

Caustic Ingestion in Children

Esophageal Stricture Post Accidental Corrosive Ingestion: A Case Report

An overview of corrosive injury of the upper gastrointestinal tract: Discussion of types, clinical evaluation, and management procedures

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