Caustic Ingestions and Foreign Bodies Ingestions in Pediatric Patients

Jacob A Kurowski; Marsha Kay

doi:10.1016/j.pcl.2017.01.004

Caustic Ingestions and Foreign Bodies Ingestions in Pediatric Patients

Pediatr Clin North Am. 2017 Jun;64(3):507-524. doi: 10.1016/j.pcl.2017.01.004.

Authors

Jacob A Kurowski¹, Marsha Kay²

Affiliations

¹ Department of Pediatric Gastroenterology, Hepatology and Nutrition, Cleveland Clinic Foundation, 9500 Euclid Avenue, Dept A111, Cleveland, OH 44195-0001, USA. Electronic address: [email protected].
² Department of Pediatric Gastroenterology, Hepatology and Nutrition, Cleveland Clinic Foundation, 9500 Euclid Avenue, Dept A111, Cleveland, OH 44195-0001, USA.

PMID: 28502435
DOI: 10.1016/j.pcl.2017.01.004

Abstract

Children inevitably swallow foreign material accidentally or intentionally. Each type of ingestion carries their own set of risks and complications, short and long term, some requiring immediate attention while others close monitoring. Alkalotic household cleaning products and lithium button batteries are increasingly common and damage the esophagus quickly. While many toys with rare-earth metals are banned, they are already present in many households and can cause necrosis of bowel that is between the magnets. This article reviews the incidence and assessment along with current literature to provide guidelines for management of pediatric patients with suspected caustic or foreign body ingestion.

Keywords: Button batteries; Caustic ingestion; Coins; Endoscopy; Foreign body; Magnets; Pediatric.

Publication types

Review

MeSH terms

Burns, Chemical / diagnosis*
Burns, Chemical / therapy
Caustics / toxicity*
Child
Child, Preschool
Endoscopy
Esophageal Diseases / diagnosis
Esophageal Diseases / etiology*
Esophageal Diseases / therapy
Esophagus / injuries*
Foreign Bodies / diagnosis*
Foreign Bodies / therapy
Humans

Substances

Caustics