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Ann Thorac Surg 1975;20:400-404
© 1975 The Society of Thoracic Surgeons


Articles

Clinitest Burns of the Esophagus

John D. Burrington, M.D.*

From the Department of Surgery, Section of Pediatric Surgery, University of Chicago Pritzker School of Medicine, Chicago, Ill.

* Address reprint requests to Dr. Burrington, Box 163, University of Chicago Pritzker School of Medicine, 950 E. 59th St., Chicago, Ill. 60637


    Abstract
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 Abstract
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Five children developed esophageal stricture from the ingestion of a Clinitest tablet. The sodium hydroxide contained in these tablets induced a short, dense stricture that was resistant to dilation and necessitated resection. In all patients primary esophageal resection with end-to-end anastomosis was technically possible. Four of the patients needed two or more dilations postoperatively and 1 still requires dilation. Prevention of accidental ingestion by use of a childproof container and parental education about the caustic nature of Clinitest are both essential to eliminate this child health hazard.


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Presented at the Eleventh Annual Meeting of The Society of Thoracic Surgeons, Montreal, Que., Canada, Jan. 20–22, 1975.


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  1. Arena JM. Dangers to Children and Youth. Durham, N.C.: Moore; 1971. pp. 519.
  2. Bloomer WE, Kirchner JA. Esophageal stricture Conn Med J 1955;19:91.
  3. Canby JP. Clinitest-produced esophageal stricture: Report of two cases J Pediatr 1957;50:68.[Medline]
  4. Danzig LS, Loebel AS. Clinitest tablet ingestion and stricture of the esophagus JAMA 1965;192:1092.[Medline]
  5. Gross RE. Treatment of short stricture of the esophagus by partial esophagectomy and end to end esophageal reconstruction Surgery 1948;23:735.[Medline]
  6. Lasky MI, Picard HN. Stricture of esophagus due to accidental ingestion of urine testing tablet (Clinitest) Ill Med J 1956;109:30.[Medline]
  7. McFadden RL. Stricture of esophagus due to accidental ingestion of Clinitest tablet J Lancet 1958;78:533.[Medline]
  8. Owens H. Chemical burns of the esophagus Arch Otolaryngol 1954;60:482.[Medline]
  9. Rabinowitz JG, Tchang S. Esophageal stricture following ingestion of Clinitest tablets Am J Roentgenol Radium Ther Nucl Med 1961;86:579.[Medline]
  10. Rumack, B., and Burrington, J. D. Caustic ingestions: A rational look at diluents. In press. Presented to the American Association of Poison Control Centers, Oct. 21, 1974.
  11. Tomsovic EJ, Javid H. Cicatricial stenosis of esophagus following ingestion of single urine sugar reagent tablet J Pediatr 1958;53:608.[Medline]
  12. Tuttle WM, Day JC. The treatment of short esophageal stricture by resection and end-to-end anastomosis J Thorac Surg 1950;19:534.
  13. Webb WR, Koutras P, Ecker RR, Sugg WL. An evaluation of steroids and antibiotics in caustic burns of the esophagus Ann Thorac Surg 1970;9:95.[Free Full Text]
  14. Zimmerman C. Esophageal stricture from accidental ingestion of Clinitest tablets Am J Dis Child 1959;97:101.[Medline]



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This Article
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