Abstract
In a series of 51 children presenting with an accidental caustic burn, symptoms were analysed for their predictive value of significant i.e. necrotizing oesophageal lesions (grade II or III). For the whole group, the incidence of significant oesophageal lesions was 37%. Vomiting and/or respiratory distress were associated with high incidence of significant oesophageal burn (84% and 75% respectively). The particular location of each caustic burn was analysed for its association with caustic burns at other anatomical sites. Of the 18 patients with a laryngeal burn, 72% also had a grade II or III oesophageal burn. The 19 patients with a grade II or III oesophageal burn and the 18 patients with a laryngeal burn, all had lesions at other sites. In the group of 19 patients with a caustic lesion limited to one site, only 1 patient showed mild oesophagitis (grade I) without late sequelae.
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Cello JP, Fagel RP, Boland CR (1980) Liquid caustic ingestion spectrum of injury. Arch Intern Med 140:501–504
Crain EF, Gerschel JC, Mezey AP (1984) Caustic ingestions: symptoms as predictors of oesophageal injury. Am J Dis Child 138:863–865
Di Constanzo J, Noirclerc M, Jouglard J, Escoffier JM, Cano M, Martin J, Gauthier A (1980) New therapeutic approach to corrosive burns of the upper gastro-intestinal tract. Gut 21: 370–375
Gaudreault P, Parent M, McGuigan MA, Chicoine L, Lovejoy FH (1983) Predictability of oesophageal injury from signs and symptoms: a study of caustic ingestion in 378 children. Pediatrics 71:767–770
Hawkins DB, Demeter MJ, Barnett TE (1985) Caustic ingestion: controversies in management: a review of 214 cases. Laryngoscope 90:98–109
Middelkamp JM, Ferguson TB, Roper CL, Hoffmann FD (1969) The management and problems of caustic burns in children. J Thorac Cardiovasc Surg 57:341–347
Moulin D, Bertrand JM, Buts JP, Nyakabasa M, Otte JB (1985) Upper airway lesions in children after accidental ingestion of caustic substances. J Pediatr 100:408–410
Rothstein FC (1986) Caustic injuries of the oesophagus in children. Pediatr Clin North Am 33:665–674
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Vergauwen, P., Moulin, D., Buts, J.P. et al. Caustic burns of the upper digestive and respiratory tracts. Eur J Pediatr 150, 700–703 (1991). https://doi.org/10.1007/BF01958758
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DOI: https://doi.org/10.1007/BF01958758