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To the Editor.—In answer to Dr. Chandler's letter:
Prior to the study in question, we were unable to find any documented case of esophageal stricture following liquid chlorine bleach ingestion, in the literature. Personal communications with many otolaryngologists, having seen large numbers of ingestions, failed to reveal any history of stricture. This study reported 393 children who reportedly had ingested bleach. Half of these received no treatment, and no strictures were found in any of the patients.
It has been our experience that the patient attempting suicide by ingestion is a poor historian. The two cases reported above may represent ingestion of chlorine bleach, chlorine bleach and some other substance, or some other substance alone.
We would like to urge anyone having additional documented evidence of esophageal stricture following household liquid chlorine bleach ingestion to report it, either in the literature or to us. If this matter can be
LANDAU GD. CHLORINE BLEACH EFFECT ON ESOPHAGUS. Arch Otolaryngol. 1965;81(3):321. doi:10.1001/archotol.1965.00750050330025
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