Evidence map›Paper›PMID 34999939›Full record

ArticlePediatric surgery international2022

Caustic ingestion in children treated at a tertiary centre in South Africa: can upper endoscopy be omitted in asymptomatic patients?

Amanda Ngobese, Saveshree Govender, Nasheeta Peer, Mahomed Hoosen Sheik-Gafoor

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Article in Pediatric surgery international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Amanda NgobeseDepartment of Paediatric Surgery, Inkosi Albert Luthuli Central Hospital, 800 Vusi Mzimela Street, Cato Manor, Durban, 4091, South Africa. ngobese_a@yahoo.com.ORCID http://orcid.org/0000-0002-1024-8478
Saveshree GovenderDepartment of Paediatric Surgery, Inkosi Albert Luthuli Central Hospital, 800 Vusi Mzimela Street, Cato Manor, Durban, 4091, South Africa.
Nasheeta PeerNon-communicable Diseases Research Unit, South African Medical Research Council, Durban, South Africa.
Mahomed Hoosen Sheik-GafoorDepartment of Paediatric Surgery, Inkosi Albert Luthuli Central Hospital, 800 Vusi Mzimela Street, Cato Manor, Durban, 4091, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeConsidering that clinical presentation and gastrointestinal tract (GIT) injuries post-caustic ingestion vary in children, this study aims to establish whether a correlation exists between clinical presentation and endoscopic findings.

methodsThis retrospective study comprised patients referred to a paediatric surgical unit between 2016 and 2018 within 72 h post-caustic ingestion. Data collected included caustic agents ingested, clinical presentation, endoscopic findings and management. Oesophageal injuries were graded according to the Zargar's endoscopic classification and gastric injuries classified as mild to severe.

resultsFifty patients with a mean age of 2.4 years were managed during the study period. Potassium permanganate (KMNO4) was the most frequently ingested substance in 27 (54%) patients. All 30 (60%) asymptomatic patients had no positive endoscopic findings regardless of clinical signs. Among the symptomatic patients (n = 20), 15 (75%) had oesophageal injuries (p = 0.01). Stridor was associated with a higher grade of oesophageal injury (p = 0.007).

conclusionsClinical signs and symptoms post-caustic ingestion correlated with endoscopic findings in our study. Endoscopy can be safely omitted in asymptomatic patients, including those with isolated staining secondary to KMNO4 ingestion. Symptomatic patients should have an endoscopy performed within 48-72 h of the insult to diagnose injuries.

Indexed as

Burns, ChemicalCausticsEsophageal StenosisChildChild, PreschoolEatingEndoscopy, GastrointestinalHumansRetrospective StudiesSouth AfricaCausticsCaustic ingestionEndoscopyOesophageal injuryPaediatricPotassium permanganateSouth Africa

Identifiers

PMID34999939

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.