Acute corrosive oesophagitis

Dafoe, Colin S.; Ross, Colin A.

doi:10.1136/thx.24.3.291

Cited by 25 publications

(4 citation statements)

References 1 publication

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“…While the studies from Western countries show that alkali has been the most common corrosive ingested by most patients with esophageal strictures [16,18,19], in India acids have been implicated more often [3,4,6,8] as seen in our study in which acid ingestion led to 57% of the strictures. This is probably because of the easy availability of strong mineral acids such as sulfuric acid and hydrochloric acid which are commonly used as toilet-cleaning agents in India.…”

Section: Discussionmentioning

confidence: 40%

Management of Acid- and Alkali-Induced Esophageal Strictures in 79 Adults by Endoscopic Dilation: 8-Years’ Experience in New Delhi

Singhal

Kar

2007

Dysphagia

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Experience with endoscopic dilation of acid- and alkali-induced strictures of the esophagus using Savary-Gilliard (SG) and balloon dilators is limited, especially in adults. The aim of this study was to determine the safety and efficacy of endoscopic dilation in the management of corrosive esophageal strictures and to compare results with regard to acid- vs. alkali-induced strictures. The records of 230 patients who were treated by endoscopic dilation between 1997 and 2005 at our center were reviewed. This study included all the patients who had corrosive-induced esophageal strictures. SG dilators were used in most of our patients [67/79 (85%)], while only a few patients [12/79 (15%)] were treated with balloon dilators. Dilation was found to be successful after an initial course of dilation (not requiring further dilations) in 28/37 (75.67%) cases in the SG dilator group and in 9/12 (75%) in the balloon group. Strictures caused by acids required a greater mean number of dilations for initial relief of dysphagia compared with that for alkalis. Some of these patients responded to a second course of dilation, leading to final combined SG dilator and balloon dilator success rates of 24/28 (86%) in the acid group and 17/21 (81%) in the alkali group. A total of 359 sessions of dilations were performed with a complication rate of 2/359 (0.56%). Endoscopic dilation using Savary-Gilliard and balloon dilators is safe and effective in managing corrosive esophageal strictures, but it is operator-dependent and the final outcome depends largely on the technical expertise and appropriate selection of patients.

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Section: Discussionmentioning

confidence: 40%

Management of Acid- and Alkali-Induced Esophageal Strictures in 79 Adults by Endoscopic Dilation: 8-Years’ Experience in New Delhi

Singhal

Kar

2007

Dysphagia

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“…In recent years, EUS has become a reliable diagnostic technique for staging esophageal tumors by identifying the depth of infiltration and the presence of lymph nodes with metastatic disease (8,9). In our two cases of alkaline esophagitis, EUS was performed 4 and 7 days after ingestion, allowing adequate time for tissue destruction to have occurred (10). EUS did identify areas of destruction of the esophageal wall.…”

Section: Discussionmentioning

confidence: 89%

Alkaline Esophagitis Evaluated by Endoscopic Ultrasound

Kamijo

Kondo²,

Soma³

et al. 2001

Journal of Toxicology: Clinical Toxicology

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Two patients with corrosive esophagitis caused by alkaline household agents were examined with endoscopic ultrasound using a 20-MHz probe. In the first case, endoscopic ultrasound revealed circumferentially thickened mucosa and muscularis propria, and lack of differentiation between the mucosa and submucosa. However, esophageal stricture did not develop during 3 months of follow-up, suggesting that the deep lesion may have involved a narrow section of esophagus only. In the second case, a markedly thickened mucosa was seen, resulting in no sequelae. Endoscopic ultrasound offers a more accurate evaluation of the depth of the lesions in alkaline esophagitis compared to standard endoscopy or computed tomography. Longitudinal studies are needed to identify lesions at greatest risk for progression to stricture.

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“…This is where necrotic tissue can begin to slough and leave an ulcerative base. This can increase the risk of perforation when performing EGD [9]. Therefore, it is often recommended to perform EGD within 24-48 hours of ingestion of a caustic agent.…”

Section: Discussionmentioning

confidence: 99%

Suicide Attempt by a Corrosive Agent Causing Unusual Outcomes and Complications

Breier¹,

Kushmakov²,

Banks³

et al. 2023

Cureus

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We commonly encounter patients in the emergency department who present after a suicide attempt. The methods can vary and present unique challenges depending on the nature of the attempt. We present an unsuccessful attempt via chemical ingestion that led to severe complications involving the ingestion of drain cleaner with both highly corrosive and caustic properties. The management and presentation are discussed in great detail to further investigate the best treatment plan for both acute and chronic complications.

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Acute corrosive oesophagitis

Abstract: This paper concerns the diagnosis, pathology, and treatment of oesophageal injuries caused by swallowing acids or alkalis. The treatments recommended aim not only at saving life in the early phase but in preventing intractable stricture later on.

Cited by 25 publications

References 1 publication

Management of Acid- and Alkali-Induced Esophageal Strictures in 79 Adults by Endoscopic Dilation: 8-Years’ Experience in New Delhi

Management of Acid- and Alkali-Induced Esophageal Strictures in 79 Adults by Endoscopic Dilation: 8-Years’ Experience in New Delhi

Alkaline Esophagitis Evaluated by Endoscopic Ultrasound

Suicide Attempt by a Corrosive Agent Causing Unusual Outcomes and Complications

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