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Caustic ingestion in children in south of Iran. Retrospective study from Shiraz - Iran
Naser Honar1, Mahmood Haghighat1, Samaneh Mahmoodi1
1Gastroenterohepatology Research Center, Nemazee Teaching Hospital,, Shiraz University of Medical Sciences. Shiraz, Iran.
Insights
Caustic ingestion in children often causes dysphagia and oral lesions. A significant 20% of pediatric cases developed esophageal stricture, highlighting the need for prompt medical attention.
Area of Science:
- Pediatric Gastroenterology
- Toxicology
- Emergency Medicine
Background:
- Caustic ingestion poses a significant health risk globally, potentially causing severe esophageal damage in children.
- Clinical outcomes range from asymptomatic cases to life-threatening complications like perforation and stricture formation.
Purpose of the Study:
- To evaluate the clinical and endoscopic features and complications of caustic ingestion in pediatric patients in southern Iran.
- To address the lack of comprehensive regional data on this critical issue.
Main Methods:
- A retrospective analysis of 75 children admitted with caustic ingestion between 2006 and 2011.
- Recording of presenting signs and symptoms for each case.
Main Results:
- The most frequent symptoms observed were dysphagia, oral lesions, vomiting, and drooling.
- Esophageal injuries occurred with both acid and alkali ingestion, while gastric injuries were more prevalent in acid ingestion.
- Esophageal stricture developed in 20% of the studied pediatric cases during the follow-up period.
Conclusions:
- Dysphagia, oral lesions, vomiting, and drooling are the primary clinical indicators of caustic ingestion in children.
- A notable 20% incidence of esophageal stricture was observed within 3 months of follow-up, underscoring the long-term risks.
Abstract:
Caustic ingestion is a major health concern in both developed and developing countries, that may lead to serious esophageal injury. The clinical presentation of caustic ingestion in children vary from asymptomatic to serious and fatal sequelae, such as perforation and stricture formation.
Objective:
Due to the lack of a comprehensive study in our area, this study has evaluated clinical and endoscopic manifestations and complications of caustic ingestion in children in south of Iran.
Materials And Methods:
In this retrospective study, we reviewed 75 children with caustic ingestion who admitted in Nemazee Hospital of Shiraz University of Medical Science during 6 years (2006-2011). Sign and symptoms were recorded for each case.
Results:
The most common symptoms were dysphagia, oral lesions, vomiting, and drooling. Esophageal injuries were detected in both acid and alkali ingestion, but gastric injuries was significantly more in acid ingestion. During follow up period, 20% of all cases developed esophageal stricture.
Conclusion:
Dysphagia, oral lesions, vomiting, and drooling were the most common findings.Esophageal stricture was found in 20% of cases during 3 months of follow up.
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