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Corrosive ingestion in children

A H Fyfe, A W Auldist

    Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
    |August 1, 1984
    PubMed

    Insights

    Corrosive ingestion in young children can lead to severe esophageal burns and narrowing. Early treatment with antibiotics, corticosteroids, and bouginage may help prevent long-term complications.

    Area of Science:

    • Pediatric Gastroenterology
    • Toxicology
    • Otolaryngology

    Background:

    • Corrosive substance ingestion is a significant cause of pediatric emergencies.
    • Accidental ingestion is most common in children under 5 years old.
    • Esophageal injury can lead to long-term complications like strictures.

    Purpose of the Study:

    • To analyze the incidence and outcomes of corrosive ingestion in children.
    • To evaluate the effectiveness of early management strategies in preventing esophageal strictures.

    Main Methods:

    • Retrospective review of 560 children admitted for corrosive ingestion between 1950-1980.
    • Detailed analysis of acute phase injuries, including oral and esophageal burns.
    • Assessment of treatment protocols involving antibiotics, corticosteroids, and bouginage.

    Main Results:

    • 560 children admitted, 99% under 5 years old.
    • 149 children had oral burns, 79 had esophageal burns (36 deep circumferential).
    • 15 children developed esophageal narrowing, 8 severely, despite treatment.

    Conclusions:

    • Corrosive ingestion poses a severe risk to young children, often causing esophageal damage.
    • While early interventions show some promise, significant esophageal narrowing remains a risk.
    • Further research into optimal management is needed to improve outcomes for pediatric corrosive ingestion.

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