Place of oesogastric endoscopy after accidental ingestion of corrosive products in children with no clinical symptoms

In our hospital, oesogastric endoscopy (OGE) is always performed after corrosive ingestion. However, this protocol has been challenged when the child presents no with clinical symptoms. To determine the value of systematic OGE in all cases of corrosive ingestion in children with no clinical symptom....

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Bibliographic Details
Published in:Clinical toxicology (Philadelphia, Pa.) Pa.), 2005-05, Vol.43 (5), p.421-421
Main Authors: Nisse, P, Cezard, C, Leveque, G, Mathieu-Nolf, M
Format: Article
Language:English
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Summary:In our hospital, oesogastric endoscopy (OGE) is always performed after corrosive ingestion. However, this protocol has been challenged when the child presents no with clinical symptoms. To determine the value of systematic OGE in all cases of corrosive ingestion in children with no clinical symptom. Retrospective analysis (1995-2002) of children admitted for corrosive ingestion with no clinical symptoms. Within 1458 children, 23 asymptomatic on admission were found to have oesogastric lesions by OGE performed within 24 h. Oesophagogastric injuries were only found when the corrosive products had a pH less than 2 or greater than 13 or in cases involving strong oxidants. Systematic oesophagogastric endoscopy is probably not indicated in every case of asymptomatic child after corrosive ingestion. However the absence of clinical symptom, especially oral or laryngo pharyngeal injury does not always exclude the existence of lower digestive tract injury. The characteristics of ingested the ingested corrosive product have also to be taken into consideration.
ISSN:1556-3650