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Citation |
Sánchez-Ramírez CA, Larrosa-Haro A, Vásquez Garibay EM, Larios-Arceo F. J. Paediatr. Child Health 2011; 47(6): 378-380. |
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Affiliation |
Instituto de Nutrición Humana, Centro Universitario de Ciencias de la Salud, Departamento de Clínicas de la Reproducción Humana, Crecimiento Desarrollo Infantil, Universidad de Guadalajara Servicio de Gastroenterología and Nutrición Unidad de Investigación en Epidemiología Clínica Servicio de Cirugía Pediátrica, Unidad Médica de Alta Especialidad Hospital de Pediatría, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara Jalisco Facultad de Medicina, Universidad de Colima, Colima, Mexico. |
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Copyright |
(Copyright © 2011, John Wiley and Sons) |
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DOI |
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PMID |
21309879 |
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Abstract |
Aim: The study aims to evaluate the association of esophageal damage with clinical data and feeding practices in children who suffered a caustic substance ingestion (CSI). Methods: Cross-sectional design was used in this study. The setting was at a pediatric referral hospital in 2006. Ninety-four children with CSI were used as study samples, with mean age of 38.4 months, and 37.2% were females. The independent variable was esophageal damage; the dependent variables were clinical data and feeding practices. Results: Main symptoms included salivation, oropharyngeal burns and vomiting. On endoscopy, 84.6% had second- or third-degree burns. Esophageal stricture occurred in 48.9%. Severe burns were associated with esophageal stricture and ingestion of alkaline products; dysphagia was associated with esophageal stricture. In about one fourth of the cases, a nutritional intervention with complete and balanced liquid diets was required to maintain the adequate daily recommended intake (DRI). Conclusions: Alkali ingestion was associated with severe burns and esophageal stricture. The presence of esophageal strictures and dysphagia required changes in the feeding practices in order to maintain an adequate nutritional status and/or to complete their DRI. Language: en |