Nutritional Therapy in Adult Patients with Post-corrosive Injuries of Gastrointestinal Tract

Chibishev, Andon; Boz̆inovska, C.; Chibisheva, Vesna; Simonovska, Natasha; Poreska, Zanina; Glasnović, Marija

doi:10.5455/msm.2011.23.64-68

Cited by 6 publications

(11 citation statements)

References 13 publications

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“…Same procedure is performed in these patients as in patients with Stage I, including consultation with psychiatrist. Nutrition can be liberalized thereafter ( 18 ).…”

Section: Aim Of the Studymentioning

confidence: 99%

Nutritional Therapy in the Treatment of Acute Corrosive Intoxication in Adults

Chibishev¹,

Markoski²,

Smokovski³

et al. 2016

Mater Sociomed

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Introduction: Acute intoxications with corrosive substances can cause severe chemical injuries of the upper gastrointestinal tract, most often located in the mouth, pharynx, esophagus, stomach and duodenum. If a patient survives the acute phase of intoxication, regenerative response may result in esophageal and/or gastric stenosis, and increased risk of esophageal and gastric cancer. Such intoxication may be fatal due to perforation or tracheal necrosis. Enteral nutrition is a nutritional method when nutritional substances are administered through specially designed tubing placed through the nose or percutaneously, directly into the GIT. Aim: The aim of this study is to describe the methods of artificial nutrition in patients with acute corrosive intoxications and the importance of nutritional support in the treatment of these intoxications. Discussion: Nutrition in the treatment of acute corrosive intoxications is one of the most important therapeutic processes that largely contribute to faster recovery of the post-corrosive injuries of upper GIT, stabilization of biologic, immunologic and metabolic parameters, and reduction of length of stay in hospital Aim of the treatment of acute corrosive intoxications is to prevent perforation and progressive fibrosis, and esophageal and gastric stenosis. There are different and often conflicting positions, on the conservative treatment of acute corrosive intoxications in adults. Such treatment mainly consists of anti-secretory treatment, antibiotics and intensive hyper-alimentation, aiming to prevent late post-corrosive intoxications. Conclusion: It is considered that nutritional support plays a major role in maintenance of metabolic processes and prevention of severe metabolic complications that could additionally aggravate the condition and impair the treatment.

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“…Same procedure is performed in these patients as in patients with Stage I, including consultation with psychiatrist. Nutrition can be liberalized thereafter ( 18 ).…”

Section: Aim Of the Studymentioning

confidence: 99%

Nutritional Therapy in the Treatment of Acute Corrosive Intoxication in Adults

Chibishev¹,

Markoski²,

Smokovski³

et al. 2016

Mater Sociomed

Self Cite

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“…After latent period of 4-6 weeks, patient presents again with complaints of persistent vomiting, early satiety and postprandial fullness. 4,5 In our patient we found vomit mixed food at the first time hospitalized and resolve with symptomatic therapy.…”

Section: Discussionmentioning

confidence: 53%

“…Esophageal rest may last until the 10 th day after corrosive ingestion or some authors say until the 15 th day, that is until the first endoscopic control. 5,16 In our case, the child came in late sequele and he ate regular meal but vomit soon after eat. We suggested to ate a liquid meal with small volume and frequent times.…”

Section: Discussionmentioning

confidence: 60%

Pyloric Stenosis Caused by Ingestion of Corrosive Agents : A Case Report

ardiansyah

2021

Human Care

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Corrosive or caustic is a group of chemical which has the capacity to cause tissue injury on contact by a chemical reaction.Ingestion of a substance that causes a chemical reaction with mucosal tissue and injures the gastrointestinal and respiratory tract is caustic ingestion. Accidental ingestion of caustic agents may cause devastating injury in children. Eighty percent of corrosive poisoning occurs in children below five years. Children are particularly susceptible to the accidental exposure to such substances due to inadequate parental supervision and careless storing of these chemicals at homes. Pyloric stenosis or gastric outlet obstruction is a well-known complication of caustic acid ingestion. The stenosis mostly occurs at the pylorus and antrum due to the pooling of the corrosive agent and the reflex pyloric spasm of the stomach after the ingestion. Typically corrosive acid ingestion leads to local reaction, oesophageal damage and gastric injury in that order. Isolated injury to the stomach resulting in pyloric stenosis is very rare, accounting to as little as 3,8% of all the cases of corrosive ingestion as reported in literature. A proper management including surgery is needed in this case to treat a child with pyloric stenosis caused by ingestion of corrosive agents. Keyword : Pyloric stenosis, accidental ingestion, corrosive agents.

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“…Chibishev et al . suggested that ingested caustic substances with pH values lower than 2 or higher than 12 may be associated with a higher endoscopic injury grade 9 . This finding suggests that the degree of damage detected by endoscopy may be milder in cases where the pH of the caustic substance is in the range of 2–12.…”

Section: Discussionmentioning

confidence: 97%

pH and specific gravity of corrosive agents as indicators in caustic injuries

İsbir

Kıllı

Taşkınlar

et al. 2022

Pediatrics International

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Background Video endoscopy, which remains the diagnostic gold standard after ingestion of a corrosive substance, is performed under general anesthesia in children, requires advanced technology, and is costly. Simple and accessible methods are therefore needed to determine the need for endoscopy. The aim of this study was to evaluate the role of the pH and specific gravity of ingested substance in determining endoscopy indications after corrosive ingestion. Methods This prospective study included pediatric patients who presented after ingesting a corrosive substance from June 2018 to June 2019. Relationships between the extent of damage detected by endoscopy and the patient's age, physical examination findings, and the pH and specific gravity of the causative substance were evaluated. Results The degree of damage detected on endoscopy was significantly milder for corrosive substances with a pH between 2 and 12 (P = 0.003). In addition, pH values between 2 and 12 were significantly more common among patients without physical examination findings (P = 0.029). Specific gravity less than 1,005 was associated with mild injury detected by video‐endoscopy (P = 0.011). Patients in whom severe injury was detected by endoscopy had marked findings on physical examination (P < 0.001). There was no significant relationship between physical examination findings and the specific gravity of the substance involved (P = 0.087). Conclusions The results of this study suggest that conservative treatment options can be used without performing endoscopy in patients who have no physical examination finding after corrosive ingestion and where the pH of the substances is between 2 and 12 and the specific gravity of the substances is less than 1,005.

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Nutritional Therapy in Adult Patients with Post-corrosive Injuries of Gastrointestinal Tract

Cited by 6 publications

References 13 publications

Nutritional Therapy in the Treatment of Acute Corrosive Intoxication in Adults

Nutritional Therapy in the Treatment of Acute Corrosive Intoxication in Adults

Pyloric Stenosis Caused by Ingestion of Corrosive Agents : A Case Report

pH and specific gravity of corrosive agents as indicators in caustic injuries

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