Las consultas por posible intoxicación han descendido entre y ( frente a , Los álcalis-cáusticos constituyen la IPH más frecuente, aunque su número se ha reducido (48 en y 18 en ). Urgencias de pediatría. Introdução: A ingestão de substâncias cáusticas, voluntária ou acidental, pode resultar em lesões graves do Mencías E. Intoxicación por cáusticos. Protocolos de gastrenterologia de a Asociación Española de Pediatria 01/ 04/ pediatras en formación y su presencia en el Congreso de. Salamanca salvo en los casos de intoxicación digitálica, por lo que no precisan.

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Freitas 2J.

Keh S, et al. Poisonings; Treatment; Children; Household cleaning products; Methaemoglobinaemia.

Gastrointestinal endoscopy ; 41 3: Hospital Fernando Fonseca, Lisboa, Portugal. Caustic esophageal injury in adults.

Intoxicación en niños: Metahemoglobinemia

Endoscopic grading of caustic lesions has therapeutic and prognostic implications. For an adequate evaluation and treatment of these patients, it would be helpful to have recommended protocols.

Caustic Injury to the Upper Gastrointestinal Tract. There pedistria still some controversies regarding intixicacion total parenteral feeding and corticotherapy are not recommended, except in selected cases. Given the broad scope of the issue and the cauzticos of covering all of pediatric toxicology, this article describes its epidemiology in our milieu and some considerations are made with respect to dealing with the most frequent or characteristic poisonings involving children.

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Risk factors for stricture development after caustic ingestion. Journal of Clinical Gastroenterology ; 37 2: Kochnar R, et al. A brief commentary is given on the treatment of paracetamol poisoning, above all in children under seven years of age, and the ingestion of caustic substances. Poisonings during childhood account for 0.

Zargar S, et al. Gastroint endosc ; 60 3: The results of caustic ingestions. Med Clin Barc ; Nunes A, et al. Voluntary or accidental caustic ingestion can result in serious injury of the upper gastrointestinal tract. Gastrointestinal Endoscopy ; Sleisenger and Fordtran’s Gastrointestinal and Liver Disease. Handbook of Medical Toxicology. Corrosive injury to upper gastrointestinal tract: Shaffer R, et al.

In the second place in order of frequency we find products of household use, although their importance in pediatric toxicology rests basically on the fact that some of these products, such as cosmetics, can result in accidental ingestion, almost exclusively involving children. Long term results of endoscopic dilatation for treatment of corrosive oesophageal strictures.

Foreign bodies, bezoars, and caustic ingestion. What is the utility of selected clinical and endoscopic parameters in predicting the risc of death after caustic ingestion? Como citar este artigo. The clinical features of caustic ingestion vary widely and may not correlate with the severity of injury. Gastroenterol Clin North Am ; 4: Ertekin C, et al.

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Am J Therap ; Anales Sis San Navarra [online]. Ingestion of strong corrosive alkalis: With respect to its epidemiology, the first cause of pediatric poisoning are medicines, with paracetamol outstanding as the most frequent cause of poisoning. Reconsidering the diagnosis and treatment of patients following ingestion of liquid lye.

Update on caustic ingestion; How e has changed. The role of fiberoptic endoscopy in the management of corrosive ingestion and causticis endoscopic classification of burns.

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Poisoning by household products including soap, detergents, cosmetics, hydrocarbon products, anilines, naphtaline, and hydrogen peroxide is reviwed. World Journal of Pwdiatria ;12 Caustic ingestion has a significant morbidity and mortality; the best initial approach is still controversial which should be the aim of future additional studies. Intralesional steroids augment the effects of endoscopic dilation in corrosive esophageal strictures.

Treatment of caustic ingestion: Hospital procedure concerning the poisoned child involves a first phase of life support and stabilization measures, followed by identification of the toxin and measures of detoxification where necessary.

Santos 1E. Dis Esoph ; J Clin Gastroenterol ; Como citar este artigo.