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KMID : 0816120000030010001
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Korean Journal of Pediatric Gastroenterolology and Nutrition
2000 Volume.3 No. 1 p.1 ~ p.8
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A Clinical Observation on Children with Corrosive Esophagitis
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Choi Dong-Hyun
Jo Moon-Ki
Ma Jae-Sook
Kim Byung-Ju
Ju Hyo-Geun
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Abstract
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Purpose : This study was undertaken to evaluate the clinical features and complication
such as esophageal stricture in children with corrosive esophagitis.
Methods : We retrospectively reviewed medical records of 31 children who accidentally
ingested corrosive materials and visited to emergency room of Chonnam National
University Hospital from Jan. 1992 to Dec. 1999. Twenty-one children were examined by
upper gastrointestinal(UGI) endoscopy to evaluate location and severity of caustic injury.
Results : 1) Among 31 patients, there were 20 males and 11 females and the ratio of
male to female was 2:1. Average age at diagnosis was 2.3 years (12months to 9.8
years). Twenty-seven(87.1%) patients were accidentally ingested vinegar. 2) Initial
presenting symptoms were dysphagia(54.8%), vomiting(48.3%), chemical burn on lips and
skin(45.2%), excessive salivation(45.2%), coughing and respiratory grunting(32.3%) and
aspiration pneumonia(9.8%). 3) UGI endoscopic examination showed caustic injury in 17
children : grade Ⅰ in 8, grade Ⅱ in 7 and grade Ⅲ in 2. The region of caustic injury
was proximal esophagus in 5, distal esophagus in 3, entire esophagus in 9 and stomach
in 6. 4) Corrosive esophageal strictures developed in 6 children(19.4%) and gastric outlet
stricture in 1(3.2%). All of them showed grade Ⅱ or Ⅲ caustic injury on endoscopic
examination.
Conclusion : The development of esophageal stricture was related to the severity of the
caustic injury. Early UGI endoscopic examination in caustic ingestion seems to be useful
for prediction of development of caustic stricture.
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KEYWORD
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Corrosive esophagitis, Vinegar, Chemical burn, Esophageal stricture, Children,
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