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Caustic ingestion and oesophageal damage in children: Clinical spectrum and feeding practices

Carmen A Sánchez-Ramírez1, Alfredo Larrosa-Haro, Edgar M Vásquez Garibay

  • 1Instituto de Nutrición Humana, Centro Universitario de Ciencias de la Salud, Departamento de Clínicas de la Reproducción Humana, Crecimiento Desarrollo Infantil, Universidad de Guadalajara, Mexico.

Journal of Paediatrics and Child Health
|February 12, 2011
PubMed

Insights

Caustic substance ingestion in children often causes severe esophageal damage, including strictures. Feeding practices must be adapted to ensure adequate nutrition and meet daily intake needs in affected children.

Area of Science:

  • Pediatric Gastroenterology
  • Toxicology
  • Otolaryngology

Background:

  • Caustic substance ingestion (CSI) is a significant cause of esophageal injury in children.
  • Understanding the link between esophageal damage, clinical presentation, and feeding is crucial for management.

Purpose of the Study:

  • To investigate the association between esophageal damage and clinical data in children following CSI.
  • To evaluate the impact of feeding practices on nutritional status in pediatric CSI patients.

Main Methods:

  • Cross-sectional study conducted at a pediatric referral hospital.
  • Ninety-four children with CSI were analyzed for esophageal damage, clinical symptoms, and feeding practices.
  • Esophageal damage was the independent variable, while clinical data and feeding practices were dependent variables.

Main Results:

  • Common symptoms included salivation, oropharyngeal burns, and vomiting.
  • Endoscopic evaluation revealed second- or third-degree burns in 84.6% of cases, with 48.9% developing esophageal strictures.
  • Severe burns and alkaline product ingestion correlated with esophageal strictures; dysphagia also indicated stricture presence.

Conclusions:

  • Alkali ingestion is strongly linked to severe esophageal burns and subsequent stricture formation.
  • Esophageal strictures and dysphagia necessitate modifications in feeding strategies to ensure adequate nutritional intake and support growth.
Abstract

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