| Objective To analyze the endoscopic characteristics and risk factors of 63 children with corrosive esophagitis. Methods A retrospective analysis was conducted on the clinical data of 63 children with corrosive esophagitis treated in our hospitalfrom March 2018 to October 2023, according to the grading of endoscopic diagnosis, the patients were divided into 0~1 level group (n=16) and 2~3 level group (n= 47), and the influencing factors were analyzed using univariate analysis and multivariate logistic regression analysis. Results Among 63 patients, the most common symptom was redness, swelling, and erosion of the lips, accounting for 52.38% (33/63), endoscopic examination showed that the degree of esophagitis injury was at grade 0 in 4, grade 1 in 12, grade 2a in 27,grade 2b in 18, and grade 3 in 2. The results of univariate analysis showed that there were statistically obvious differences in age, place of residence, nature of corrosive substances ingested by mistake, dosage of corrosive substances ingested by mistake, and concentration of corrosive substances ingested by mistake between the two groups(P<0.05).The results of logistic regression analysis showed that age ≤ 3 years old (OR=1.635, P=0.029), residence in a city (OR=2.302, P =0.001), ingestion of alkaline corrosive substances (OR=7.265, P=0.001), ingestion of > 5mL (OR=3.274, P=0.035), and ingestion of high concentration corrosive substances (OR=4.552, P=0.017) were risk factors for endoscopic grading of children with corrosive esophagitis. Conclusions Corrosive esophagitis in children often manifests as superficial esophageal ulcers.Age ≤ 3 years old, residence in a city, ingestion of alkaline corrosive substances by mistake, ingestion of > 5 mL, and ingestion of high concentrations of corrosive substances by mistake are risk factors for children with corrosive esophagitis. |
