P In suspected corrosive substance ingestion, endoscopy is unnecessary unless hypersalivation and dysphagia are present.

 A

Here’s a bullet-point summary of the article "Corrosive Substance Ingestion: When to Perform Endoscopy?":

• Aim:

  • To develop an algorithm for managing pediatric corrosive substance ingestion, focusing on when to perform endoscopy.

• Methods:

  • Study included children admitted for corrosive ingestion (July 2015–December 2021).

  • Before January 2020: Endoscopy performed for all patients.

  • After January 2020: Endoscopy only for those with hypersalivation and/or dysphagia.

• Results:

  • Total: 172 patients treated.

  • Endoscopy findings:

    • Among 19 patients with hypersalivation:

      • Grade I corrosion: 5 patients

      • Grade II-A: 1 patient

      • Grade II-B: 3 patients

      • Normal findings: remaining patients

    • Among 14 patients with dysphagia:

      • Grade I corrosion: 1 patient

      • Grade II-A: 2 patients

      • Grade II-B: 4 patients

      • Normal findings: remaining patients

  • Patients without hypersalivation/dysphagia:

    • No complications during long-term follow-up.

    • No need for additional treatment.

• Conclusions:

  • In suspected corrosive substance ingestion, endoscopy is unnecessary unless hypersalivation and dysphagia are present.

  • Safe management without endoscopy is possible in asymptomatic patients.

---

Would you also like me to prepare a super-quick decision flowchart based on this algorithm? 🚑📈