Management of Children With Suspected Esophageal Burns

Abstract

In order to determine the presence and extent of esophageal burns, esophagoscopy should be performed within 48 hours after accidental ingestion of a caustic.

Prevention of a stricture is the main objective in treating esophageal burns. Administration of antidotes and emetics is not recommended, since most multiple esophageal strictures result from regurgitation of the alkali after neutralizing agents have been given.

Effective treatment includes esophageal dilatations and administration of corticosteroids and antibiotics.