TY  - JOUR
PY  - 2011//
TI  - Caustic ingestion and oesophageal damage in children: Clinical spectrum and feeding practices
JO  - Journal of Paediatrics and Child Health
A1  - Sánchez-Ramírez, Carmen A.
A1  - Larrosa-Haro, Alfredo
A1  - Vásquez Garibay, Edgar M.
A1  - Larios-Arceo, Francisco
SP  - 378
EP  - 380
VL  - 47
IS  - 6
N2  - 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.<p />  <p>Language: en</p>
LA  - en
SN  - 1034-4810
UR  - http://dx.doi.org/10.1111/j.1440-1754.2010.01984.x
ID  - ref1
ER  -