The role of endoscopy in caustic ingestion in pediatric population: experience in a tertiary center.

THE ROLE OF ENDOSCOPY IN CAUSTIC INGESTION IN PEDIATRIC POPULATION: EXPERIENCE IN A TERTIARY CENTER. Rev Esp Enferm Dig. 2020 Nov 23;: Authors: Morilla Fernandez JA, Egea Valenzuela J, Fernandez Llamas T, Melero Nicolás B, Navalón Rubio M, Gil Ortega D, Alberca de Las Parras F Abstract INTRODUCTION: Caustic ingestion in children is rare but has potentially serious consequences. AIM: To analyze the clinical and endoscopic features, and the type of caustic ingested in our population. METHODS: We analyzed the upper endoscopies performed in this setting, as well as the characteristics of patients and caustics between the years 2010-2018. RESULTS: There were 51 endoscopies (48 in cases of witnessed intake or high suspicion of it, and 3 with low suspicion) in patients with a mean age of 2.55 years. Alkali ingestion was more frequent (88.2%), and 56.9% of the endoscopies were normal, which was more frequent among those who ingested bleach (72%). Alkali tended to produce more esophageal injuries (31.1%), and acids tended to produce esophageal (20%) and esophageal-gastric injuries (20%). Four patients developed esophageal stenosis in the follow-up. Discusion: Even though more than half of studies are normal, endoscopy is important in the diagnosis and prognosis of these patients. PMID: 33222476 [PubMed - as supplied by publisher]
Source: Revista Espanola de Enfermedades Digestivas - Category: Gastroenterology Tags: Rev Esp Enferm Dig Source Type: research