Gastrointestinal tract injuries due to corrosive substance ingestion in children

Object: The aim of this study was retrospective analyses of patients with corrosive ingestion at the route of literatures.Method: From 2000 to 2012 patients with corrosive ingestion were classified. Age, sex, complaints, corrosive substrat, lesion localization, diagnostic and treatment methods,morbidity, mortality were the determining factors of this study.Results: 270 patients (156 male, 114 female) with corrosive ingestion were analysed retrospectively. Time to hospital applying after corrosive ingestion was 2 hours at 57 % of patients. Rate of corrosive ingestion at 0-3 age %40,7 and %32,2 at 3-6 age group. The most frequent factor was lime solvents (28,9%), hidrochloric acid (25,6%) and oil solvents (19,2%) were following it. Clinical features of patients were buccal, oral, oropharingeal oedema (%66,6), kusma (%24,8) and disfagia (%20,3). 87 patients were done endoscopy.Endoscopy revealed grade 1 burn at %34,5 of patients and grade 2a2a burn at %39,2 patients. At the acute phase oral intake was stopped, antibiotherapy and steroid treatment was performed. Oesophageal stricture was established at 56 patients and gastric outlet obstuction was established at 15 patients.Conclusion: Oesophageal and gastric burn with corrosive substrats is an importan health problem of 0-6 age group of children. Oesophageal burns cause high morbidity and mortality. Etiologic agents and other factors of oesophageal and gastric burns should be controlled strictly by producers and public.Keywords: Corrosive ingestion, oesophageal stricture, gastric outlet obstruction.