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[Our experience with caustic substance ingestion in children]
J R Paredes Osado1, J R Gras Albert, C Crespo Marco
1Servicio de ORL, Hospital General d'Alacant (SVS).
Acta Otorrinolaringologica Espanola
|March 1, 1993
Summary
This study reviews 157 pediatric caustic substance ingestion cases, detailing diagnosis, treatment, and follow-up protocols. It highlights severe esophageal burns requiring dilation and analyzes pH-metry's utility, noting bleach's frequent but less abrasive nature.
Area of Science:
- Pediatric Gastroenterology
- Toxicology
- Otolaryngology
Context:
- Caustic substance ingestion is a significant concern in pediatric patients.
- A retrospective analysis of 157 cases treated between 1987 and 1991 was conducted.
- The study focuses on children under seven years old.
Purpose:
- To outline the diagnostic, treatment, and follow-up protocol for pediatric caustic substance ingestion.
- To evaluate the effectiveness of various treatment modalities, including esophageal dilatation.
- To analyze the diagnostic utility of pH-metry in this patient population.
Summary:
- 157 pediatric cases of caustic ingestion were reviewed, with 14 experiencing severe esophageal burns necessitating dilation.
- The study discusses the management of esophageal injuries and the role of pH-metry.
- Bleach was identified as the most common agent, though its abrasiveness was relatively mild.
Impact:
- Provides insights into managing pediatric caustic ingestion, informing clinical practice.
- Highlights the need for specialized protocols for severe esophageal burns.
- Contributes to understanding the specific risks associated with different caustic agents like bleach.