Çocuklarda Korozif Madde İçimi

Tuğrul Tiryaki; Ervin Mambet; Emrah Şenel; Fatih Akbıyık; Ziya Livanelioğlu; Halil Atayurt

Research Article

Turk J Pediatr Dis 2009; 3(2): 10-14.

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CORROSIVE SUBSTANCE INGESTION IN CHILDHOOD

Authors

Tuğrul Tiryaki

Ervin Mambet

Emrah Şenel

Fatih Akbıyık

Ziya Livanelioğlu

Halil Atayurt

Affiliations

Turk J Pediatr Dis 2009; 3(2): 10-14.

Published: August 1, 2009

Abstract

Aim: Esophageal burns as a result of accidental swallowing of caustic material are seen frequently in children. Accidental ingestion of corrosive substances remains a major health hazard in children. The aim of this study was to evaluate the management of our 319 padiatric cases of corrosive substance ingestion retrospectively.Material and methods: We retrospectively analyzed the management of 319 padiatric cases of corrosive substance ingestion in whom initial management consisted of prompt endoscopy. There were 201 male and 118 female patients, age ranges between 1 month to 13 years. Treatment protocols were chosen according to the initial endoscopic evaluation. Gastroesophageal reflux (GER) was investigated in patients who needed esophageal dilatation programme for more than 6 months.

Results: 148 patients (%46) were found to have esophageal burns and 55 (37%) of them underwent treatment for stricture formation. Patients with grade 2b and 3a injuries in endoscopic evaluation needed prolonged dilatations. Severe GER and abnormal pH monitorization results were noted in 41% of these patients. Delayed acid clearence was noted in all patients who needed prolonged dilatations.

.Conclusion: Esophageal stricture was noted in 17% of the patients after corrosive substance ingestion. Gastroesophageal reflux was frequently encountered after the development of severe stricture and prolonged esophageal dilatations. These results indicated that disturbances of motility and GER are frequent sequelae of caustic burns of the esophagus. Treatment modality should include the treatment of the gastroesophageal reflux, and esophageal motility disorders

Keywords: Caustic esophageal burn, gastroesophageal reflux

References

de Jong AL, Macdonald R, Ein S, Forte V, Turner A. Corrosive esophagitis in children: a 30-year review. Int J Pediatr Otorhino- laryngol. 2001; 57:203-211.
Mutaf O, Genç A, Herek O, Demircan M, Ozcan C, Arikan A. Gastroesophageal reflux: a determinant in the outcome of caustic esophageal burns. J Pediatr Surg. 1996; 31:1494- 1495.
Doğan Y, Erkan T, Cokuğraş FC, Kutlu T. Caustic gastroesopha- geal lesions in Childhood: an analyses of 473 cases. Clin Pediatr (Phila). 2006; 45:435-438.
Tiryaki T ,Livanelioğlu Z, Atayurt H. Early bougienage for relief of stricture formation following caustic esophageal burns. Pedi- atr Surg Int. 2005 ;21: 78-80.
Hamza AF, Abdelhay S, Sherif H, Hasan T, Soliman H, Kabesh A, Bassiouny I, Bahnassy AF. Caustic esophageal strictures in child- ren: 30 years’ experience. J Pediatr Surg. 2003; 38:828-833.
Wijburg FA, Heymens HS, Urbanus NA. Caustic esophageal lesions in children:prevention of stricture formation. J Pediatr Surg.1989; 24:171-173.
Atabek C, Surer I, Demirbag S, Calıskan B, Ozturk H, Cetinkur- sun S. Increasing tendency in caustic esophageal burns and long term polytetrafluorethylene stenting in severe cases: 10 years ex- perince. J Pediatr Surg. 2007;42:636-640.
Huang YC, Ni YH, Lai HS, Chang MH. Corrosive esophagitis in children. Pediatr Surg Int. 2004 ;20: 207-210.
Capella M, Goldberg P, Quaresma E, Araujo E, Pereime M. Per- sistance of corrosive esophageal stricture due to gastroesophageal reflux in children. Pediatr Surg Int. 1992; 7:180-182.
Bautista A, Varela R, Villanueva A , Estevez E, Tojo R, Cadranel S. Motor function of the esophagus after caustic burn. Eur J Pediatr Surg. 1996; 6:204-207.
Genç A, Mutaf O. Esophageal motility changes in acute and late periods of caustic esophageal burns and their relation to progno- sis in children. J Pediatr Surg.2002; 37:1526-1528.
Broto J, Asensio M, Jorro CS, Marhuenda C, Vernet JM, Acosta D, Ochoa JB.Conservative treatment of caustic esophageal inju- ries in children: 20 years of experience. Pediatr Surg Int.1999;15: 325.
Hillemeier AC, Grill BB, McCallum R, Grybuski J. Esophageal and gastric motor abnormalities in gastroesophageal reflux du- ring infancy. Gastroenterology. 1983;84: 741-746.
Maddern GJ, Jamieson GG. Oesophageal emptying in patients with gastro-oesophageal reflux. Br J Surg. 1986; 73: 615-617.

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How to cite

Tiryaki T, Mambet E, Şenel E, Akbıyık F, Livanelioğlu Z, Atayurt H. CORROSIVE SUBSTANCE INGESTION IN CHILDHOOD. Turk J Pediatr Dis [Internet]. 2009 Aug. 1 [cited 2025 May 24];3(2):10-4. Available from: https://turkjpediatrdis.org/article/view/57

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[ref1] de Jong AL, Macdonald R, Ein S, Forte V, Turner A. Corrosive esophagitis in children: a 30-year review. Int J Pediatr Otorhino- laryngol. 2001; 57:203-211.

[ref2] Mutaf O, Genç A, Herek O, Demircan M, Ozcan C, Arikan A. Gastroesophageal reflux: a determinant in the outcome of caustic esophageal burns. J Pediatr Surg. 1996; 31:1494- 1495.

[ref3] Doğan Y, Erkan T, Cokuğraş FC, Kutlu T. Caustic gastroesopha- geal lesions in Childhood: an analyses of 473 cases. Clin Pediatr (Phila). 2006; 45:435-438.

[ref4] Tiryaki T ,Livanelioğlu Z, Atayurt H. Early bougienage for relief of stricture formation following caustic esophageal burns. Pedi- atr Surg Int. 2005 ;21: 78-80.

[ref5] Hamza AF, Abdelhay S, Sherif H, Hasan T, Soliman H, Kabesh A, Bassiouny I, Bahnassy AF. Caustic esophageal strictures in child- ren: 30 years’ experience. J Pediatr Surg. 2003; 38:828-833.

[ref6] Wijburg FA, Heymens HS, Urbanus NA. Caustic esophageal lesions in children:prevention of stricture formation. J Pediatr Surg.1989; 24:171-173.

[ref7] Atabek C, Surer I, Demirbag S, Calıskan B, Ozturk H, Cetinkur- sun S. Increasing tendency in caustic esophageal burns and long term polytetrafluorethylene stenting in severe cases: 10 years ex- perince. J Pediatr Surg. 2007;42:636-640.

[ref8] Huang YC, Ni YH, Lai HS, Chang MH. Corrosive esophagitis in children. Pediatr Surg Int. 2004 ;20: 207-210.

[ref9] Capella M, Goldberg P, Quaresma E, Araujo E, Pereime M. Per- sistance of corrosive esophageal stricture due to gastroesophageal reflux in children. Pediatr Surg Int. 1992; 7:180-182.

[ref10] Bautista A, Varela R, Villanueva A , Estevez E, Tojo R, Cadranel S. Motor function of the esophagus after caustic burn. Eur J Pediatr Surg. 1996; 6:204-207.

[ref11] Genç A, Mutaf O. Esophageal motility changes in acute and late periods of caustic esophageal burns and their relation to progno- sis in children. J Pediatr Surg.2002; 37:1526-1528.

[ref12] Broto J, Asensio M, Jorro CS, Marhuenda C, Vernet JM, Acosta D, Ochoa JB.Conservative treatment of caustic esophageal inju- ries in children: 20 years of experience. Pediatr Surg Int.1999;15: 325.

[ref13] Hillemeier AC, Grill BB, McCallum R, Grybuski J. Esophageal and gastric motor abnormalities in gastroesophageal reflux du- ring infancy. Gastroenterology. 1983;84: 741-746.