An analysis of corrosive substance ingestion of children in eastern Turkey

Yıl 2008, Cilt: 13 Sayı: 1-2, 1 - 6, 14.01.2013

Mehmet Melek Yeşim Edirne Ufuk Çobanoğlu Abdullah Ceylan Muhammet Can

Öz

Abstract. In this study, we aimed at describing corrosive substance  ingestion and related problems in Eastern Turkey. This type of injury is still a serious problem to be given a careful attention in our country like the other developing countries. The charts of children managed in our hospital with corrosive substance ingestion in the period of 1996- 2008 were evaluated retrospectively. Gender, age, ingested substance and the volume, symptoms, morbidity of caustic injury were considered in the analysis of the charts. We had 40 male and 35 female cases. 82% of children were under 5 years old. Mean age was determined as approximately 3.5 years. Bleach was the most common corrosive substance received and it was followed by hydrochloric acid. The volume of the ingested substance varied between 1-100 ml. The volume could not be estimated in 36 children. It was determined that 54% of ingested corrosive substance was in its original package. Twenty-five cases ingested the substance from food or drink containers that was stored somewhere in the kitchen. Five children had developed esophageal strictures. They were included in esophageal dilatation program. In our country the morbidity of caustic esophageal burn is still a problem that should be involved.  Attention to the storage conditions and secured bottle cap seems to be the easiest and simplest way to prevent corrosive substance ingestion.

Key words: Corrosive substance ingestion, caustic burn, esophageal burn

Anahtar Kelimeler

Corrosive substance ingestion, caustic burn, esophageal burn

Kaynakça

• Havanond C, Havanond P. Initial signs and symptoms as prognostic indicators of severe gastrointestinal tract injury due to corrosive ingestion. J Emerg Med 2007; 33: 349-353.
• Özgüner İF, Savaş Ç, Yavuz MS, et al. Çocuklarda kazara oluşan özofagus yanıkları. Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi 2002; 9: 7-9 (in Turkish).
• Wasserman RL, Ginsburg CM. Caustic substance injuries. J Pediatr 1985; 107: 169-174.
• Tiryaki T, Livanelioğlu Z, Atayurt H. Early bougienage for relief of stricture formation following caustic esophageal burns. Pediatr Surg Int 2005; 21: 80.
• Janousek P, Kabelka Z, Rygl M, et al. Corrosive injury of the oesophagus in children. Int J Pediatr Otorhinolaryngol 2006; 70: 1103-1107.
• Berthet B, Castellani P, Brioche MI, et al. Early operation for severe corrosive injury of the upper gastrointestinal tract. Eur J Surg 1996; 162: 951-955.
• Andıran N, Sarıkayalar F. Pattern of acute poisonings in childhood in Ankara: what has changed in twenty years? Turk J Pediatr 2004; 46: 147-152.
• Tekant G, Eroğlu E, Erdoğan E, et al. Corrosive injury-induced gastric outlet obstruction: a changing spectrum of agents and treatment. J Pediatr Surg ; 36: 1004-1007.
• Contini S, Tesfaye M, Picone P, et al. Corrosive esophageal injuries in children. A shortlived experience in Sierra Leone. Int J Pediatr Otorhinolaryngol 2007; 71: 1597-1604.
• Turan C, Özkan U, Özokutan BH, et al. Corrosive injuries of the esophagus in newborns. Pediatr Surg Int 2000; 16: 483-484.
• Kushimo T, Ekanem MM. Acid ingestion in a 2-day old baby. West Afr J Med 1997; 16: 121-123.
• Havanond C. Clinical features of corrosive ingestion. J Med Assoc Thai 2003; 86: 918-924.
• Mutaf O: Çocuklarda Kostik Özofagus Yaralanmaları. In Başaklar AC (ed): Bebek ve Çocukların Cerrahi ve Ürolojik Hastalıkları. 1st ed. Ankara: Palme Publishing Company, 2006, pp 395
• Mamede RCM, De Mello Filho FV. Treatment of caustic ingestion: an analysis of 239 cases. Dis Esophagus 2002; 15: 210-213.
• Crain EF, Gershel JC Mezay AP. Caustic ingestion symptoms as predictors of esophageal injury. Am J Dis Child 1984; 138: 863-865.
• Gaudreault P, Parent M, McGuigan MA, et al. Predictability of esophageal injury from sign and symptoms: a study of caustic ingestion in 378 children. Pediatrics 1983; 71: 767-770.
• Vale JA. Position statement: gastric lavage. American Academy of Clinical Toxicology; European Association of Poisons Centres and Clinical Toxicologists. J Toxicol Clin Toxicol 1997; : 711-719.
• Kuhn JR, Tunell WP. The role of initial cineesophagography in caustic esophageal injury. Am J Surg 1983; 146: 804-806.
• Lamireau T, Rebouissoux L, Denis D, et al. Accidental caustic ingestion in children: is endoscopy always mandatory? J Pediatr Gastroenterol Nutr 2001; 33: 81-84.
• Genç A, Mutaf O. Esophageal motility changes in acute and late periods of caustic esophageal burns and its relation with prognosis in children. J Pediatr Surg 2002; 37: 1526-1528.
• Baskın D, Urgancı N, Abbasoğlu L, et al. A standardised protocol for the acute management of corrosive ingestion in children. Pediatr Surg Int ; 20: 824-828. Gün F, Abbasoğlu L, Celik A, et al. Early and late term management in caustic ingestion in children: a year experience. Acta Chir Belg 2007; 107: 49
• Kochhar R, Ray JD, Sriram PV, et al. Intralesional steroids augment the effects of endoscopic dilation in corrosive esophageal strictures. Gastrointest Endosc ; 49: 509-513. Mutaf O. Treatment of corrosive esophageal strictures by long-term stenting. J Pediatr Surg 1996; : 681-685.
• Atabek C, Surer İ, Demirbag S, et al. Increasing tendency in caustic esophageal burns and long-term polytetraflourethylene stenting in severe cases: 10 years experience. J Pediatr Surg 2007; 42: 636-640.
• Gündogdu HZ, Tanyel FC, Büyükpamukçu N, et al. Colonic replacement for the treatment of caustic esophageal strictures in children. J Pediatr Surg ; 27: 771-774. Hendren WH, Hendren WG. Colon interposition for esophagus in children. J Pediatr Surg 1985; 20: 829
• Karnak İ, Tanyel FC, Büyükpamukçu N, et al. Combined use of steroid, antibiotics and early bougienage against stricture formation following caustic esophageal burns. J Cardiovasc Surg (Torino) ; 40: 307-310. Özcan C, Ergün O, Şen T, et al. Gastric outlet obstruction secondary to acid ingestion in children. J Pediatr Surg 2004; 39: 1651-1653.
• Çiftçi AO, Şenocak ME, Büyükpamukçu N, et al. Gastric outlet obstruction due to corrosive ingestion: incidence and outcome. Pediatr Surg Int 1999; 15: 91.
• Boukthir S, Fetni I, Mrad SM, et al. High doses of steroids in the management of caustic esophageal burns in children. Arch Pediatr 2004; 11: 13-17.