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[Esophageal caustic injury in childhood. A critical elucidation with indication for esophagoscopy]
J Brauneis1, M Schröder, R Laskawi
1Hals-Nasen-Ohren-Klinik, Universität Göttingen.
Insights
Esophagoscopies are crucial for diagnosing esophageal burns in children after suspected caustic ingestion. Even without external burns, internal esophageal injury may be present, necessitating endoscopic evaluation.
Area of Science:
- Pediatric Gastroenterology
- Otolaryngology
- Emergency Medicine
Context:
- Caustic ingestion in children can lead to severe esophageal injury.
- Clinical signs of external burns are not always present.
- Early diagnosis is critical for effective management.
Purpose:
- To evaluate the necessity of esophagoscopy in children with suspected caustic esophageal injury.
- To determine if external burn signs reliably indicate esophageal damage.
Summary:
- Esophagoscopies were performed on 41 children with suspected caustic esophageal injury between 1983 and 1988.
- Eleven children had significant esophageal burns and received steroid and antibiotic treatment.
- Two of these 11 children showed no external chemical burns, highlighting the need for endoscopy.
Impact:
- Esophagoscopy should not be omitted in suspected cases of caustic ingestion, even without visible external burns.
- This finding aids in refining diagnostic protocols for pediatric caustic ingestions.
- Highlights the importance of endoscopic assessment for accurate diagnosis and timely treatment.
Abstract:
From 1983 through 1988, esophagoscopies were performed in 41 children because of suspected caustic esophageal injury. Of these 41 children, 11 had endoscopically significant esophageal burns and were treated with steroids and antibiotics. Of these 11 patients, two had no chemical burns of the facial skin, mouth, or pharyngeal mucosa. The authors therefore believe that esophagoscopy must not be omitted in cases of suspected caustic ingestion.