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[Corrosive esophagitis in children (author's transl)]

P Arcand, A J Guerguerian

    Chirurgie Pediatrique
    |January 1, 1982
    PubMed

    Insights

    Steroids may benefit children with corrosive esophagitis, particularly for less severe burns. This retrospective study highlights their potential role in preventing esophageal stenosis after corrosive ingestion.

    Area of Science:

    • Pediatric Gastroenterology
    • Toxicology
    • Otolaryngology

    Context:

    • Corrosive esophagitis in children presents a complex treatment challenge with ongoing debate.
    • Ingestion of household chemicals like Javel water, sodium hydroxide, and acids is a significant concern.
    • A retrospective analysis of 327 pediatric cases hospitalized between 1970-1976 was conducted.

    Purpose:

    • To review current literature on corrosive esophagitis treatments.
    • To present findings from a retrospective study on pediatric corrosive esophagitis management.
    • To evaluate the efficacy of treatments, including steroids, in preventing esophageal strictures.

    Summary:

    • The study identified common corrosive agents and found esophageal involvement in 46% of cases, even without oropharyngeal burns.
    • Endoscopically confirmed esophageal burns were present in 81 patients.
    • A low incidence of stenosis (9%) suggests a beneficial effect of steroid therapy, especially for first and second-degree burns.

    Impact:

    • Findings support the potential role of steroids in mitigating long-term complications like esophageal stenosis in pediatric corrosive esophagitis.
    • Highlights the importance of endoscopic evaluation for accurate diagnosis, even in the absence of visible upper airway burns.
    • The study contributes to the ongoing discussion regarding optimal management strategies for corrosive esophageal injuries in children.

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