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Early management of acute caustic ingestion in pediatrics

Elliott S Gordon1, Elaine Barfield1, Benjamin D Gold2

  • 1Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, NewYork-Presbyterian/Weill Cornell Medicine, New York, New York, USA.

Journal of Pediatric Gastroenterology and Nutrition
|January 31, 2025
PubMed

Insights

This review summarizes current literature on pediatric caustic ingestion, covering initial management, endoscopy, and treatments. More research is needed for definitive pediatric guidelines on managing caustic ingestion.

Area of Science:

  • Pediatric Gastroenterology
  • Toxicology
  • Emergency Medicine

Background:

  • Caustic ingestion is a significant concern in pediatric patients.
  • Prompt and accurate management is crucial to prevent long-term sequelae.

Purpose of the Study:

  • To review current literature on pediatric caustic ingestion.
  • To outline management strategies for symptomatic and asymptomatic children.
  • To discuss endoscopic evaluation and therapeutic interventions.

Main Methods:

  • Comprehensive literature search of available evidence.
  • Synthesis of findings related to initial management, endoscopy, and treatment.
  • Analysis of current practices and identification of research gaps.

Main Results:

  • Initial management varies based on symptoms.
  • Endoscopic evaluation timing and necessity are debated.
  • Various therapeutic interventions are discussed, but evidence for definitive pediatric guidelines is limited.

Conclusions:

  • Current literature provides a basis for managing pediatric caustic ingestion.
  • Further research is required to establish GRADE-compliant pediatric guidelines.
  • Standardized guidelines are needed for optimal patient outcomes.

Keywords:
childrenendoscopypediatric gastroenterology

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