Caustic and foreign body ingestions in children: a practical approach

Ugo Cucinotta, Valeria Di Pasquale, Claudio Romano

Abstract


Caustic and foreign body ingestions represent a fairly frequent occurrence in children and a major concern both for families and clinicians, as it can range from non-significant to life-threatening events, leading to severe sequelae. Despite the efforts across the years to ensure safer environment and child-proof products packages, the number of new cases remains high.Most cases occur in developing countries, where preschoolers and children are less supervised, and storage of household products is often inadequate. The purpose of this paper is to perform an updated overview of the correct approach to a child with caustic or foreign body ingestion, providing an immediate practical application for the physicians.


Keywords


“caustic ingestion”, “children”, “corrosive ingestion”, “esophageal strictures”

Full Text:

PDF

References


1. Gummin, D.D., Mowry, J.B., Spyker, D.A., Brooks, D.E., Beuhleret M.C., Rivers, L.J., Hashem, H.A., Ryan, M.L. (2019). 2018 Annual Report of the American Association of Poison Control Centers’National Poison Data System (NPDS): 36th Annual Report. Clin Toxicol, 57(12), 1220-1413.Doi:10.1080/15563650.2019.1677022.


2 Arnold, M., Numanoglu, A. (2017). Caustic ingestion in Children –A Review. Seminars in Pediatric Surgery, 26(2), 95-104. doi: 10.1053/j.sempedsurg.2017.02.002.


3. Wiley, R., Hyams, J.S., Kay, M. (2016). Pediatric gastrointestinal and liver disease, 5th edition, Philadelphia, El Sevier, 206-212.


4. Karagiozoglou-Lampoudi, T., Agakidis, C.H., Chryssostomidou, S., Arvanitidis, K., Tsepis, K. (2011). Conservative management of caustic substance ingestion in a pediatric department setting, short-term and long-term outcome. Dis Esophagus, 24(2), 86-91.doi: 10.1111/j.1442-2050.2010.01097.x.


5. Chirica, M., Bonavina, L., Kelly, M.D., Sarfati, E., Cattan, P. (2017). Caustic ingestion, a Review. The Lancet, 389, 2041-2052. doi: 10.1016/S0140-6736(16)30313-0.


6. De Lusong, M.A.A., Timbol, A.B.G., Tuazon, D.J.S. (2017). Management of esophageal caustic injury. World J GastrointestPharmacolTher, 8(2), 90-98. doi: 10.4292/wjgpt.v8.i2.90.


7. Niedzielski, A., Schwartz, S.G., Partycka-Pietrzyk, K., Niedzielska, G.M. (2019). Caustic Agents Ingestion in Children: A 51-year retrospective Cohort Study. Ear, Nose & Throat J, XX(X), 1-6.doi: 10.1177/0145561319843109.


8. Karaman, İ., Koç, O., Karaman, A., Erdoğan, D., Çavuşoğlu, Y.H., Afşarlar, C.E., Yilmaz, E., Ertürk, A., Balci, O., Özgüner,I.F. (2015). Evaluation of 968 children with corrosive substance ingestion. Indian J Crit Care Med, 19(12), 714–718. doi: 10.4103/0972-5229.171377.


9. Bird, J.H., Kumar, S., Paul, C., Ramsden, J.D. (2017). Controversies in the management of caustic ingestion injury: an evidence-based review. Clin Otolaryngol, 42(3), 701-708. doi: 10.1111/coa.12819.


10. Bonavina, L., Chirica, M., Skrobic, O., Kluger, Y., Andreollo, N.A., Contini, S., Simic, A., Ansaloni, L., Catena, F., Fraga, G.P., Locatelli, C., Chiara, O., Kashuk, J., Coccolini, F., Macchitella, Y., Mutignani, M., Cutrone, C., Poli, M.D., Valetti, T., Asti, E., Kelly, M., Pesko, P. (2015). Foregut caustic injuries: results of the world society of emergency surgery consensus conference. World J Emerg Surg, 10:44. doi: 10.1186/s13017-015-0039-0.


11. Chirica, M., Resche-Rigon, M., Zagdanski, A.M., Bruzzi, M., Bouda, D., Roland, E., Sabatier, F., Bouhidel, F., Bonnet, F., Munoz-Bongrand, N., Marc Gornet, J., Sarfati, E., Cattan, P. (2016). Computed Tomography Evaluation of Esophagogastric Necrosis After Caustic Ingestion. Ann Surg, 264(1), 107-113. doi: 10.1097/SLA.0000000000001459.


12. Chirica, M., Kelly, M.D., Siboni, S., Aiolfi, A., Riva, C.G., Asti, E., Ferrari, D., Leppäniemi, A., Ten Broek, R.P.G., Brichon, P.Y., Kluger, Y., Fraga, G.P., Frey, G., Andreollo, N.A., Coccolini, F., Frattini, C., Moore, E.E., Chiara, O., Di Saverio, S., Sartelli, M., Weber, D., Ansaloni, L., Biffl, W., Corte, H., Wani, I., Baiocchi, G., Cattan, P., Catena, F., Bonavina, L. (2019). Esophageal emergencies: WSES guidelines. World J Emerg Surg, 14:26. doi: 10.1186/s13017-019-0245-2.


13. Bruzzi, M., Chirica, M., Resche-Rigon, M., Corte, H., Voron, T., Sarfati, E., Zagdanski, A.M., Cattan, P. (2019). Emergency Computed Tomography Predicts Caustic Esophageal Stricture Formation. Ann Surg, 270(1), 109-114. doi: 10.1097/SLA.0000000000002732.


14. Park, K.S. (2014). Evaluation and management of caustic injuries from ingestion of acidor alkaline substances. Clin Endosc, 47, 301-307. DOI: 10.5946/ce.2014.47.4.301.13. Kluger, Y., Ishay, O.B., Sartelli, M., Katz, A., Ansaloni, L., Gomez, C.A., Biffl, W., Catena, F., Fraga, G.P., Di Saverio, S., Goran, A., Ghnnam, W., Kashuk, J., Leppäniemi, A., Marwah, S., Moore, E.E., Bala, M., Massalou, D., Mircea, C., Bonavina, L. (2015). Caustic ingestion management: world society of emergency surgery preliminary survey of expert opinion. World J Emerg Surg, 10, 56. doi: 10.1186/s13017-015-0043-4.


15. Temiz, A., Oguzkurt, P., Ezer, S.S., Ince, E., Hicsonmez, A. (2012). Predictability of outcome of caustic ingestion by esophagogastroduodenoscopy in children. World J Gatroenterol, 18(10), 1098-1103. doi: 10.3748/wjg.v18.i10.1098.16. Contini, S., Scarpignato, C. (2013). Caustic injury of the upper gastrointestinal tract: a comprehensive review. World J Gastroenterol, 19(25), 3918-3930.doi: 10.3748/wjg.v19.i25.3918.


16. Tringali, A., Thomson, M., Dumonceau, J.M., Tavares, M., Tabbers, M.M., Furlano, R., Spaander, M., Hassan, C., Tzvinikos, C., Ijsselstijn, H., Viala, J., Dall'Oglio, L., Benninga, M., Orel, R., Vandenplas, Y., Keil, R., Romano, C., Brownstone, E., Hlava, Š., Gerner, P., Dolak, W., Landi, R., Huber, W.D., Everett, S., Vecsei, A., Aabakken, L., Amil-Dias, J., Zambelli, A. (2017). Pediatric gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) Guideline Executive summary. Endoscopy, 49(1), 83-91. doi: 10.1055/s-0042-111002.


17. Chou,S.H., Chang, Y.T., Li, H.P., Huang, M.F., Lee, C.H., Lee, K.W. (2010). Factors predicting the hospital mortality of patients with corrosive gastrointestinal injuries receiving esophagogastrectomy in the acute stage. World J Surg, 34(10), 2383-2388. doi: 10.1007/s00268-010-0646-6.


18. Cakal, B., Akbal, E., Koklu, S., Babalı, A., Koçak, E., Taş, A. (2013). Acute therapy with intravenous omeprazole on caustic esophageal injury: a prospective case series. Dis Esophagus, 26(1), 22–26. doi: 10.1111/j.1442-2050.2011.01319.x.


19. Oliva, S., Romano, C., De Angelis, P., Isoldi, S., Mantegazza, C., Felici, E., Dabizzi, E., Fava, G., Renzo, S., Strisciuglio, C., Quitadamo, P., Saccomani, M.D., Bramuzzo, M., Orizio, P., Nardo, G.D., Bortoluzzi, F., Pellegrino, M., Illiceto, M.T., Torroni, F., Cisarò, F., Zullo, A., Macchini, F., Gaiani, F., Raffaele, A., Bizzarri, B., Arrigo, S., De' Angelis, G.L., Martinelli, M., Norsa, L.; Italian Society of PediatricGastroenterologyHepatology and Nutrition (SIGENP), and The Italian Association of Hospital Gastroenterologists and Endoscopists (AIGO). (2020). Foreign body and caustic ingestions in children: A clinical practice guideline. Dig Liver Dis, 52(11), 1266-1281. doi: 10.1016/j.dld.2020.07.016.


20. Hesham A-Kader, H. (2010). Foreign body ingestion: children like to put objects in their mouth. World J Pediatr, 6(4), 301-310. doi: 10.1007/s12519-010-0231-y.


21. Jayachandra, S., Eslick, G.D. (2013). A systematic review of paediatric foreign body ingestion: Presentation, complications, and management. Int J Ped Otorhinol, 77(3), 311-317. doi: 10.1016/j.ijporl.2012.11.025.


23. Thomson, M., Tringali, A., Dumonceau, J.M., Tavares, M., Tabbers, M.M., Furlano, R., Spaander, M., Hassan, C., Tzvinikos, C., Ijsselstijn, H., Viala, J.,Dall’Oglio, L., Benninga, M., Orel, R., Vandenplas, Y., Keil, R., Romano, C., Brownstone, E., Hlava, S., Gerner, P., Dolak, W., Landi, R., Dietrich Huber, W., Everett, S., Vecsei, A., Aabakken, L., Amil-Dias, J., Zambelli, A.(2017). Paediatric Gastrointestinal Endoscopy: European Society for Paediatric Gastroenterology Hepatology and Nutrition and European Society of Gastrointestinal Endoscopy Guidelines. J Pediatr Gastroenterol Nutr, 64(1), 133–153.doi: 10.1097/MPG.0000000000001408.


24. Lee, J.H. Foreign Body Ingestion in Children. (2018). Clin Endosc, 51(2), 129-136. doi: 10.5946/ce.2018.039.


26. Chung, S., Forte,V., Campisi, P.A Review of Pediatric Foreign Body Ingestion and Management. (2010). Clin Ped Emerg Med, 11(3), 225-230. Doi: 10.1016/j.cpem.2010.06.002.


27. Fung, B.M., Sweetser, S., Wong Kee Song, L.M., Tabibian, J.H. (2019). Foreign object ingestion and esophageal food impaction: an update and review on endoscopic management. World J GastrointestEndosc, 11(3), 174–192. doi: 10.4253/wjge.v11.i3.174.




DOI: https://doi.org/10.6092/1828-6550/APMB.108.2.2020.SD6

Refbacks

  • There are currently no refbacks.


Copyright (c) 2020 Ugo Cucinotta, Valeria Di Pasquale, Claudio Romano

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.