Caustic ingestion in children-A review.


Various domestic or industrial chemicals may cause significant upper aerodigestive tract burns. Preventive measures should be up-scaled, especially in the developing world, to reduce the epidemic of accidental victims, largely unsupervised preschool children. External signs do not predict degree of injury. Non-invasive diagnostic screening includes radio-nuclear imaging, but early oesophago-gastroduodenoscopy remains the standard to predict stricture formation from circumferential submucosal scarring. Serial dilation is the mainstay of oesophageal stricture therapy, with oesophageal replacement reserved for severe refractory strictures. Intra-lesional steroid or mitomycin C may decrease the dilatations required for severe strictures, although long-term effects are unknown. Risk of secondary oesophageal carcinoma mandates long-term surveillance.

DOI: 10.1053/j.sempedsurg.2017.02.002

Cite this paper

@article{Arnold2017CausticII, title={Caustic ingestion in children-A review.}, author={Marion Arnold and A L P Numanoglu}, journal={Seminars in pediatric surgery}, year={2017}, volume={26 2}, pages={95-104} }