Briefly noted: ES Gordon, E Barfiedl, BD Gold. J Pediatr Gastroenterol Nutr. 2025;1–12. Early management of acute caustic ingestion in pediatrics

Congratulations to my partner Dr. Gold and his coauthors.

Key points:

• In symptomatic patients, EGD within 24‐hours is most optimal to evaluate the degree of injury and for prognostication
• Further research is needed on the use of steroids, antibiotics, and acid‐suppression
• Early placement of NGT under direct visualization during endoscopy may help prevent stricture formation and allow for enteral nutrition in cases of significant injury (Zargar grade 2b and above)

Related blog posts:

• Why Ingestion of Caustic Substances is Not A Good Idea
• Detergent Pod Ingestions -Is an Endoscopy Needed?