Corvosive ingestion in children

Summary Object: The aim of this study was retrospective analyses of the patients with corrosive ingestion at the route of literatures. Method: From 2001 to 2006 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: 75 patients (55 male, 20 female) with corrosive ingestion were analysed retrospectively. Time to hospital applying after corrosive ingestion was 2 hours at 43 % of patients and more than 10 hours at 19 patients of patients. Rate of corrosive ingestion at 0-3 age group was 49 % and 35 % at 3-6 age group. The most frequent factor was sodium chloride (28 %), and oil solvents (24 %), lime solvents (17 %), hidrochloric acid (14 %) were following it. Clinical features of patients were buccal, oral, oropharingeal oedema (87 %), oral chemical smell (51 %), coughing (44 %) and oral intake rejection ( 33 %). Furthermore 2 patients were diagnosed as upper airway obstruction and shock. Endoscopy revealed grade 1 burn at 52 % of patients and grade Ha burn at 16 % of patients. At the acute phase oral intake was stopped, antibiotherapy and steroid treatment was performed. Oesophageal stricture was established at 7 patients (9.3 %) during long term follow up. 1 patient (1.3 %) with serious stricture underwent oesophageal stent placement operation and got ex at the post operative period. Conclusion: Oesophageal burn with corrosive substrats is an important health problem of 0-6 age group of children. Oesophageal burns cause high morbidity and mortality. Etiologic agents and other factors of oesophageal burns should be controlled strictly by producers and public. 47