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.

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