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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INTOXICACIONES EN PEDIATRIA by on Prezi

Santos 1E. Pires 1L. Freitas 2J. Voluntary or accidental caustic ingestion can result in serious injury of the upper gastrointestinal tract. Management of these patients is controversial as far as the best endoscopic and intensive care approach.

Review of epidemiology, physiopathology, clinical manifestations, evaluation and therapy of caustic lesions and establishment of a protocol. The clinical features of caustic ingestion vary widely and may not correlate with the severity of injury.

Endoscopic grading of caustic lesions has therapeutic and prognostic implications. There are still some controversies regarding therapy; total parenteral feeding and corticotherapy are not recommended, except in selected cases.

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Caustic ingestion has a significant morbidity and mortality; the best initial approach is still controversial which should be the pediarria of future additional studies. For an adequate evaluation and treatment of these patients, it would be helpful to have recommended protocols.

Anales Sis San Navarra ; 26 1: Med Clin Barc ; Corrosive Ingestion in Adults. Journal of Clinical Gastroenterology ; 37 2: Keh S, et al.

Intoxicación en niños: Metahemoglobinemia

Corrosive injury to upper gastrointestinal tract: Still a major surgical dilemma. World Journal of Gastroenterology ;12 Ertekin C, et al. The results of caustic ingestions. Hepatogastroenterology ; 51 Ingestion of Acid and Alkaline Agents: Outcome and Prognostic Value of early upper endoscopy. Gastroint endosc ; 60 3: Sleisenger and Fordtran’s Gastrointestinal and Liver Disease.

Caustic Injury to the Upper Gastrointestinal Tract. Casasnovas A, Martin F. Handbook of Medical Toxicology. Zargar A, et al.

The role of fiberoptic endoscopy in the management of corrosive ingestion and modified endoscopic classification of burns. Gastrointestinal Endoscopy ; Byrne F et al.

Foreign bodies, bezoars, and caustic ingestion. Gastroenterol Clin North Am ; 4: Zargar S, et al.

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Ingestion of strong corrosive causticks What is the utility of selected clinical and endoscopic parameters in predicting the risc of death after caustic ingestion? Treatment of caustic ingestion: Dis Esoph ; Prediction of complications following caustic ingestion in adults. Clin Otolaryngol ; 20 3: Nunes A, et al. Risk factors for stricture development after caustic ingestion. Reconsidering the diagnosis and treatment of patients following ingestion of liquid lye.

J Clin Gastroenterol ; Shaffer R, et al.

Update on caustic ingestion; How therapy has changed. Kochnar R, et al. Intralesional steroids augment the effects of endoscopic dilation in corrosive esophageal strictures. Gastrointestinal endoscopy ; 41 3: Long term results of endoscopic dilatation for treatment of corrosive oesophageal strictures. Ingestion of Caustic Substances by Adults.

Am J Therap ; Caustic esophageal injury in adults. Hospital Fernando Fonseca, Lisboa, Portugal. Como citar este artigo.