Your browser doesn't support javascript.
loading
FACTORS ASSOCIATED WITH A HIGHER NUMBER OF ESOPHAGEAL DILATIONS IN CHILDREN WITH A HISTORY OF ALKALINE INGESTION.
Cardoso, Annie J; Sandy, Natascha S; Gomez, Gabriela S; Servidoni, Maria de Fatima; Lomazi, Elizete A; Bellomo-Brandao, Maria Angela.
Afiliação
  • Cardoso AJ; Faculdade de Ciências Médicas da Universidade Estadual de Campinas, Departamento de Pediatria, Campinas, SP, Brasil.
  • Sandy NS; Faculdade de Medicina da Universidade de São Paulo, Departamento de Pediatria, São Paulo, SP, Brasil.
  • Gomez GS; Faculdade de Ciências Médicas da Universidade Estadual de Campinas, Departamento de Pediatria, Campinas, SP, Brasil.
  • Servidoni MF; Faculdade de Ciências Médicas da Universidade Estadual de Campinas, Departamento de Pediatria, Campinas, SP, Brasil.
  • Lomazi EA; Faculdade de Ciências Médicas da Universidade Estadual de Campinas, Departamento de Pediatria, Campinas, SP, Brasil.
  • Bellomo-Brandao MA; Faculdade de Ciências Médicas da Universidade Estadual de Campinas, Departamento de Pediatria, Campinas, SP, Brasil.
Arq Gastroenterol ; 61: e23061, 2024.
Article em En | MEDLINE | ID: mdl-38896572
ABSTRACT

BACKGROUND:

Children who experience alkaline injury are at risk for the development of esophageal strictures and the need for esophageal dilations.

OBJECTIVE:

We aimed to assess predictors for a higher number of esophageal dilatations in children following alkali ingestion.

METHODS:

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.

RESULTS:

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<0.01), and accidents happening outside of the household environment (P=0.02) were associated with a greater number of esophageal dilations on follow-up. An endoscopic classification Zargar of 2B or higher (P=0.03), the presence of stricture at the time of the second EGD (P=0.01), and gastroesophageal reflux disease (GERD) as a late complication (P=0.01) were also associated with a greater number of esophageal dilations on long term follow-up.

CONCLUSION:

Beyond the endoscopic classification severity - a well-known risk factor for the strictures after alkali ingestions, we found that male gender, accidents with homemade products, and accidents occurring outside the household environment were significantly associated with a greater number of esophageal dilatations in the long-term follow-up of children following alkali ingestion.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Queimaduras Químicas / Álcalis / Estenose Esofágica Limite: Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: Arq Gastroenterol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Queimaduras Químicas / Álcalis / Estenose Esofágica Limite: Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: Arq Gastroenterol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil