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Pattern of corrosive ingestion in southwestern Saudi Arabia

Ali M Al-Binali1, Mohammmed A Al-Shehri, Ismail Abdelmoneim

  • 1Department of Pediatric, College of Medicine, King Khalid University, Abha, Kingdom of Saudi Arabia. aalbinali@yahoo.com

Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association
|July 2, 2009
PubMed

Insights

Corrosive ingestion remains a significant pediatric emergency, frequently causing severe digestive tract damage and strictures in young children. Standardized, evidence-based management is crucial to mitigate these serious complications.

Area of Science:

  • Pediatric Emergency Medicine
  • Gastroenterology
  • Toxicology

Background:

  • Ingested corrosive material presents a major global pediatric emergency.
  • Corrosive ingestion can lead to severe digestive tract damage, strictures, and mortality.
  • Understanding ingestion patterns is vital for effective pediatric emergency care.

Purpose of the Study:

  • To review the pattern of corrosive ingestion in pediatric patients admitted to Aseer Central Hospital.
  • To identify common corrosive agents and their associated outcomes in children.
  • To inform standardized management protocols for corrosive ingestion.

Main Methods:

  • Retrospective study of 72 pediatric patients admitted for corrosive ingestion (1990-1995).
  • Data collected included patient demographics, ingestion details, clinical presentation, diagnostic procedures (endoscopy, barium swallow), and outcomes.
  • Analysis of common corrosive agents and management strategies.

Main Results:

  • The most common corrosive agent was 5.25% hypochlorite (50%), followed by kerosene (16.7%) and caustic soda (12.5%).
  • Endoscopy revealed abnormalities in 14 of 30 patients.
  • Barium swallow identified strictures in five patients, necessitating dilatation or surgery.

Conclusions:

  • Corrosive injury remains a critical pediatric emergency, particularly affecting young children.
  • Stricture formation is a major complication requiring prompt and appropriate management.
  • Standardized, evidence-based medical management is essential for improving outcomes in pediatric corrosive ingestion cases.
Abstract

Keywords:
Childrencorrosiveingestion

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