Related Experiment Video
Updated: May 10, 2025
06:42
Use of the Scissor-Type Knife During the Peroral Endoscopy Myotomy Procedure for the Treatment of Achalasia
Published on: March 3, 2023
3.0K
Corrosive Substance Ingestion: When to Perform Endoscopy?
Ufuk Ateş1, Gülnur Göllü1, Ergun Ergün1
1Faculty of Medicine, Department of Pediatric Surgery, Ankara University, Ankara, Turkey.
Journal of Paediatrics and Child Health
|April 21, 2025
Summary
For paediatric patients ingesting corrosive substances, endoscopy is not necessary unless both hypersalivation and dysphagia are present. This approach streamlines management for corrosive ingestion cases.
Area of Science:
- Pediatric Gastroenterology
- Toxicology
- Emergency Medicine
Background:
- Corrosive substance ingestion presents a significant clinical challenge in pediatric emergency care.
- Effective management and follow-up protocols are crucial for affected children.
Purpose of the Study:
- To introduce a treatment and follow-up algorithm for pediatric patients with corrosive ingestion.
- To refine diagnostic approaches for corrosive ingestion in children.
Main Methods:
- A retrospective analysis of 172 pediatric patients admitted for corrosive ingestion between July 2015 and December 2021.
- Comparative analysis of endoscopy indications before and after January 2020, shifting focus to patients with hypersalivation and dysphagia.
Main Results:
- Endoscopy in 19 patients with hypersalivation showed varying degrees of esophageal corrosion (Grade I, II-A, II-B).
- Dysphagia assessment in 14 patients revealed similar corrosion grades, with most having normal endoscopic findings.
- Pediatric patients without hypersalivation and dysphagia experienced no long-term complications or need for further treatment.
Conclusions:
- Endoscopic evaluation is not routinely required for all pediatric corrosive ingestion cases.
- The presence of both hypersalivation and dysphagia simultaneously is a key indicator for endoscopy in high-risk ingestions.
Related Concept Videos
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
32
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
32
01:26Endoscopic Procedures V: ERCP
37
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
37
01:28Endoscopic Procedures III: Video Capsule Endoscopy
50
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
50
01:28Esophageal Perforation-II: Clinical Manifestations and Management
24
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
24
01:24Upper GI Series: Barium Swallow
45
The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
45
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
29
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
29