Honar Naser, Haghighat Mahmood, Mahmoodi Samaneh, Javaherizadeh Hazhir, Kalvandi Gholamreza, Salimi Mohammad
Gastroenterohepatology Research Center, Nemazee Teaching Hospital,, Shiraz University of Medical Sciences. Shiraz, Iran.
Nursing Care Research Center in Chronic Diseases and Department of Pediatric Gastroenterology, Ahvaz Jundishapur University of Medical Sciences. Ahvaz, Iran.
Rev Gastroenterol Peru. 2017 Jan-Mar;37(1):22-25.
Caustic ingestion is a major health concern in both developed and developing countries, that may lead to serious esophageal injury. The clinical presentation of caustic ingestion in children vary from asymptomatic to serious and fatal sequelae, such as perforation and stricture formation.
Due to the lack of a comprehensive study in our area, this study has evaluated clinical and endoscopic manifestations and complications of caustic ingestion in children in south of Iran.
In this retrospective study, we reviewed 75 children with caustic ingestion who admitted in Nemazee Hospital of Shiraz University of Medical Science during 6 years (2006-2011). Sign and symptoms were recorded for each case.
The most common symptoms were dysphagia, oral lesions, vomiting, and drooling. Esophageal injuries were detected in both acid and alkali ingestion, but gastric injuries was significantly more in acid ingestion. During follow up period, 20% of all cases developed esophageal stricture.
Dysphagia, oral lesions, vomiting, and drooling were the most common findings.Esophageal stricture was found in 20% of cases during 3 months of follow up.
腐蚀性物质摄入在发达国家和发展中国家都是一个主要的健康问题,可能导致严重的食管损伤。儿童腐蚀性物质摄入的临床表现从无症状到严重和致命的后遗症不等,如穿孔和狭窄形成。
由于我们地区缺乏全面的研究,本研究评估了伊朗南部儿童腐蚀性物质摄入的临床、内镜表现及并发症。
在这项回顾性研究中,我们回顾了6年间(2006 - 2011年)在设拉子医科大学内马齐医院收治的75例腐蚀性物质摄入儿童。记录每个病例的体征和症状。
最常见的症状是吞咽困难、口腔损伤、呕吐和流口水。酸碱摄入均检测到食管损伤,但酸摄入导致的胃损伤明显更多。在随访期间,所有病例中有20%出现食管狭窄。
吞咽困难、口腔损伤、呕吐和流口水是最常见的表现。随访3个月期间,20%的病例发现有食管狭窄。