Caustic oesophagitis in children: prevalence, the corrosive agents involved, and management from primary care through to surgery

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dc.contributor.authorUygun, Ibrahim
dc.date.accessioned2024-04-24T17:08:23Z
dc.date.available2024-04-24T17:08:23Z
dc.date.issued2015
dc.departmentDicle Üniversitesien_US
dc.description.abstractPurpose of reviewCaustic substance ingestion (CSI) remains a major health issue, particularly in developing countries, where laws are not effectively enforced. This review offers a thorough analysis of the current epidemiology, clinical features, management, treatment, and long-term complications of CSI in children.Recent findingsStrong alkalis sold in liquid and granular forms, particularly crystalline grease cleaners (concentrated sodium hydroxide), are the principal causes of severe oesophageal damage. Currently, early endoscopy to assess the gastro-oesophageal mucosa is not considered necessary for all CSI cases. Oesophageal stricture is a major complication developing after CSI, and should be diagnosed and treated earlier, 10-14 days after CSI via commencement of a dilation program. Fluoroscopically guided oesophageal balloon dilatation seems to be safe, with a low frequency of complications and a high success rate. However, it should commence earlier than is currently the case, and should be performed gently, using balloons of gradually increasing diameter. If dilation fails after a few months, oesophageal replacement surgery should be performed.SummaryUnfortunately, neither dilatation treatment nor oesophageal bypass surgery can prevent the development of oesophageal carcinoma, the incidence of which is high after CSI. The continuing unacceptably high incidence of CSI accidents would be reduced if corrosive materials were sold in their original childproof containers, highlighting the need for preventive and adult education programmes.en_US
dc.identifier.doi10.1097/MOO.0000000000000198
dc.identifier.endpage432en_US
dc.identifier.issn1068-9508
dc.identifier.issn1531-6998
dc.identifier.issue6en_US
dc.identifier.pmid26371603
dc.identifier.scopus2-s2.0-84947130286
dc.identifier.scopusqualityQ2
dc.identifier.startpage423en_US
dc.identifier.urihttps://doi.org/10.1097/MOO.0000000000000198
dc.identifier.urihttps://hdl.handle.net/11468/17321
dc.identifier.volume23en_US
dc.identifier.wosWOS:000369370200002
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofCurrent Opinion in Otolaryngology & Head and Neck Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCaustic Ingestionen_US
dc.subjectChildrenen_US
dc.subjectCorrosiveen_US
dc.subjectDilatationen_US
dc.subjectOesophageal Strictureen_US
dc.titleCaustic oesophagitis in children: prevalence, the corrosive agents involved, and management from primary care through to surgeryen_US
dc.titleCaustic oesophagitis in children: prevalence, the corrosive agents involved, and management from primary care through to surgery
dc.typeReview Articleen_US

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