FACTORS ASSOCIATED WITH A HIGHER NUMBER OF ESOPHAGEAL DILATIONS IN CHILDREN WITH A HISTORY OF ALKALINE INGESTION

Children who experience alkaline injury are at risk for the development of esophageal strictures and the need for esophageal dilations. We aimed to assess predictors for a higher number of esophageal dilatations in children following alkali ingestion. Single-center retrospective cohort study includi...

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Bibliographic Details
Published in:Arquivos de gastroenterologia 2024, Vol.61, p.e23061
Main Authors: Cardoso, Annie J, Sandy, Natascha S, Gomez, Gabriela S, Servidoni, Maria de Fatima, Lomazi, Elizete A, Bellomo-Brandao, Maria Angela
Format: Article
Language:English
Subjects:
alkali ingestion
Alkalies - adverse effects
Burns, Chemical - etiology
Caustic ingestion
Caustics - poisoning
Child, Preschool
Dilatation
endoscopy, child, esophageal dilations
Endoscopy, Digestive System
Esophageal Stenosis - chemically induced
Female
GASTROENTEROLOGY & HEPATOLOGY
Humans
Infant
Male
Retrospective Studies
Risk Factors
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Summary:Children who experience alkaline injury are at risk for the development of esophageal strictures and the need for esophageal dilations. We aimed to assess predictors for a higher number of esophageal dilatations in children following alkali ingestion. Single-center retrospective cohort study including children who underwent esophagogastroduodenoscopy (EGD) after alkali ingestion. Possible predictive factors for the need for esophageal dilatations were evaluated. A total of 34 patients were included, and 19 were female (55.9%). The median age at the time of the accidents was 20.6 months (IQR 15-30.7). All alkali ingestions were accidental, in all cases involving liquid products, and most (24/34; 70%) occurred at the child's home. Homemade liquid soap was the agent in half of the cases. The most frequently reported symptom at presentation was vomiting (22/34, 64.7%). The median follow-up time was 3.2 years (IQR 1.1-7.4). On follow-up, the median number of esophageal dilatations required for these patients was 12.5 (IQR 0-34). Among demographic factors, male gender (P=0.04), ingestion of homemade products (P
ISSN:1678-4219
1678-4219
DOI:10.1590/S0004-2803.24612023-061