Citation

Uygun I. Turk. Klin. Pediatri. 2018; 27(3): 136-152.

Copyright

(Copyright © 2018, Ortadoğu Reklam Tanıtım ve Yayıncılık)

DOI

10.5336/pediatr.2018-61815

PMID

unavailable

Abstract

Corrosive (caustic) substance ingestion remains a major health issue, particularly in developing countries. The unacceptable incidence of these accidents could be reduced by adult education programs, and if corrosive materials were only sold in their original childproof containers. The management after corrosive agent ingestion should be planned according to the signs and symptoms of the patients. In patients who intentionally drink corrosive substance in suicide attempts or ingested large amounts, a more dynamic approach should be demonstrated. The habitual management of corrosive ingestion based on endoscopic grading, starvation and barium study is now controversial. Esophageal stricture, is a major complication after corrosive ingestion, should be, diagnosed earlier (10-14 days), and treated by starting dilation earlier. Fluoroscopically guided esophageal balloon dilatation seems to be safe, with a low frequency of complications and a high success rate. If dilation fails after a few months, esophageal replacement surgery with esophagectomy and gastric pull-up should be considered. The increased risk of developing esophageal carcinoma after ingestion of corrosive substances should be kept in mind. © 2018 by Türkiye Klinikleri.

Language: tr

Keywords

Child; human; Review; suicide attempt; starvation; endoscopy; esophagus burn; surgical technique; esophagus resection; barium; esophagus surgery; esophagus stenosis; Caustics; Esophagitis; balloon dilatation; Esophageal stenosis; Sodium hydroxide; esophageal balloon dilatation; esophageal replacement surgery; esophagus carcinoma; gastric pull-up