pH and specific gravity of corrosive agents as indicators in caustic injuries
| Autor: | Ali Nayci, Caner İsbir, İsa Kıllı, Hakan Taşkınlar |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Caustics Physical examination Hydrogen-Ion Concentration Corrosive substance Gastroenterology Endoscopy Gastrointestinal Endoscopy Conservative treatment Internal medicine Pediatrics Perinatology and Child Health medicine Ingestion Humans In patient Prospective Studies Prospective cohort study business Child Specific Gravity Specific gravity |
| Zdroj: | Pediatrics international : official journal of the Japan Pediatric SocietyReferences. 64(1) |
| ISSN: | 1442-200X |
| Popis: | BACKGROUND Video endoscopy, which remains the diagnostic gold standard after ingestion of a corrosive substance, is performed under general anesthesia in children, requires advanced technology, and is costly. Therefore, simple and accessible methods are needed to determine the need for endoscopy. The aim of this study was to evaluate the role of pH and specific gravity of ingested substance in determining endoscopy indications after corrosive ingestion. METHODS This prospective study included pediatric patients who presented after ingesting a corrosive substance from June 2018 to June 2019. Relationships between the extent of damage detected by endoscopy and the patient's age, physical examination findings, and the pH and specific gravity of the causative substance were evaluated. RESULTS The degree of damage detected on endoscopy was significantly milder for corrosive substances with pH between 2 and 12 (p=0.003). In addition, pH values between 2 and 12 were significantly more common among patients without physical examination findings (p=0.029). Specific gravity less than 1005 was associated with mild injury detected by video-endoscopy (p=0.011). Patients in whom severe injury was detected by endoscopy had marked findings on physical examination (p |
| Databáze: | OpenAIRE |
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