TY  - JOUR
PY  - 2017//
TI  - Caustic ingestion in children-a review
JO  - Seminars in Pediatric Surgery
A1  - Arnold, Marion
A1  - Numanoglu, Alp
SP  - 95
EP  - 104
VL  - 26
IS  - 2
N2  - Various domestic or industrial chemicals may cause significant upper aerodigestive tract burns. Preventive measures should be up-scaled, especially in the developing world, to reduce the epidemic of accidental victims, largely unsupervised preschool children. External signs do not predict degree of injury. Non-invasive diagnostic screening includes radio-nuclear imaging, but early oesophago-gastroduodenoscopy remains the standard to predict stricture formation from circumferential submucosal scarring. Serial dilation is the mainstay of oesophageal stricture therapy, with oesophageal replacement reserved for severe refractory strictures. Intra-lesional steroid or mitomycin C may decrease the dilatations required for severe strictures, although long-term effects are unknown. Risk of secondary oesophageal carcinoma mandates long-term surveillance.<br><br>Copyright © 2017 Elsevier Inc. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 1055-8586
UR  - http://dx.doi.org/10.1053/j.sempedsurg.2017.02.002
ID  - ref1
ER  -