Corrosive Substance Ingestion in Children

Abstract

To evaluate children who ingested corrosive substances, in terms of demographic features, nature of ingested substances, clinical findings, management and complications. A total of 1709 cases aged between 0 and 16y who ingested corrosive substance were analyzed retrospectively by evaluating the medical records of the patients. The mean age of the cases was 35.23 ± 30.65mo and male:female ratio was 1.45. Forty one percent of corrosive substances causing intoxication contained NaOH. Thirty percent of the families consisted of 5 or more members. Fourteen percent of the mothers were illiterate. Stricture formation was observed in 29 (1.69%) of the cases during follow-up. In 79.31% of those cases alkaline substance ingestion was responsible for stricture development. It was found that stricture formation occurred more frequently among cases who were older than 5y of age and this finding was statistically significant (p = 0.001). The cases older than 5y of age with the diagnosis of grade 2b esophagitis must be followed up closely for the stricture formation. In order to protect children from corrosive ingestion, importance must be given to preventive measures such as education of families, keeping and storing these agents out of the reach of children and providing safety caps for these products.