par Miele, Erasmo;Cadranel, Samy 
Référence Practical Pediatric Gastrointestinal Endoscopy, Third Edition, wiley, page (235-240)
Publication Publié, 2021-01
Référence Practical Pediatric Gastrointestinal Endoscopy, Third Edition, wiley, page (235-240)
Publication Publié, 2021-01
Partie d'ouvrage collectif
| Résumé : | Ingestion of caustic agents can induce severe esophageal and gastric lesions, including necrosis, sometimes leading to life-threatening acute complications. Every child suspected of caustic ingestion and with symptoms/signs (e.g., oral lesions, vomiting, drooling, dysphagia, hematemesis, dyspnea, abdominal pain, etc.) needs an early upper gastrointestinal endoscopy to identify all digestive tract lesions. Endoscopy should be performed within the first 24 hours, preferably 6–12 hours after ingestion in order to observe any severe complications while stabilizing the child. A too early endoscopy may not show the extent of the burns whereas an endoscopy done after 48 hours increases the risk of perforation. Caustic ingestion increases the risk of carcinoma formation (both adenocarcinoma and squamous cell carcinoma) with an incidence of 2–8%. However, periodic surveillance for the development of dysplasia following caustic ingestion is controversial. |
