Turk J Med Sci. 2015;45(1):184-90. doi: 10.3906/sag-1312-140.
BACKGROUND/AIM: TO examine esophageal and gastric lesions in children due to the ingestion of alkali and acid corrosive substances and to emphasize all related complications.
The reports of 103 children who ingested or were suspected to have ingested corrosive substances and who then underwent upper gastrointestinal endoscopic inspections were evaluated retrospectively.
Of the patients, the mean age was 41 ± 3.6 months, and 57.3% were male. Vomiting was the most common symptom (44.7%). Eighteen different commercial products were defined as corrosive substances: 59.2% of them were alkali, 39.8% were acids, and 1% had a neutral pH. These corrosive agents most frequently contained sodium hydroxide, followed by hydrochloric acid, sodium hypochlorite, and sulfuric acid. Endoscopic inspections were abnormal in 68% of the cases. Esophageal lesions were observed in 56.3% of the patients, while gastric lesions were observed in 35%. During the follow-up period, esophageal strictures developed in 4.9% of patients, while gastric outlet obstructions developed in 1%.
Of the patients, the mean age was 41 ± 3.6 months, and 57.3% were male. Vomiting was the most common symptom (44.7%). Eighteen different commercial products were defined as corrosive substances: 59.2% of them were alkali, 39.8% were acids, and 1% had a neutral pH. These corrosive agents most frequently contained sodium hydroxide, followed by hydrochloric acid, sodium hypochlorite, and sulfuric acid. Endoscopic inspections were abnormal in 68% of the cases. Esophageal lesions were observed in 56.3% of the patients, while gastric lesions were observed in 35%. During the follow-up period, esophageal strictures developed in 4.9% of patients, while gastric outlet obstructions developed in 1%.
背景/目的：检查因摄入碱性和酸性腐蚀性物质而导致的儿童食管和胃损伤，并强调所有相关并发症。
回顾性评估了 103 名因摄入或疑似摄入腐蚀性物质而接受上消化道内镜检查的儿童的报告。
患者平均年龄为 41 ± 3.6 个月，57.3%为男性。呕吐是最常见的症状（44.7%）。18 种不同的商业产品被定义为腐蚀性物质：其中 59.2%为碱性，39.8%为酸性，1%为中性 pH 值。这些腐蚀性物质最常含有氢氧化钠，其次是盐酸、次氯酸钠和硫酸。内镜检查异常占 68%。食管病变见于 56.3%的患者，胃病变见于 35%的患者。在随访期间，4.9%的患者发生食管狭窄，1%的患者发生胃出口梗阻。
患者平均年龄为 41 ± 3.6 个月，57.3%为男性。呕吐是最常见的症状（44.7%）。18 种不同的商业产品被定义为腐蚀性物质：其中 59.2%为碱性，39.8%为酸性，1%为中性 pH 值。这些腐蚀性物质最常含有氢氧化钠，其次是盐酸、次氯酸钠和硫酸。内镜检查异常占 68%。食管病变见于 56.3%的患者，胃病变见于 35%的患者。在随访期间，4.9%的患者发生食管狭窄，1%的患者发生胃出口梗阻。
