The impact of psychological illness on outcome of corrosive esophageal injury

Ogunrombi, AB; Mosaku, KS; Onakpoya, Uvie Ufuoma

doi:10.4103/1119-3077.106747

Cited by 10 publications

(12 citation statements)

References 13 publications

(16 reference statements)

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“…The occurrence of corrosive ingestion in children is mostly accidental, but the majority of adult cases (70.5%) are intentional self-harm [ 2 , 6 ]. Psychiatric disorders and socioeconomic stresses are considered the most common reasons for corrosive ingestion [ 7 ]. Legislative efforts to identify individuals with psychosocial distress for appropriate therapy are important for reducing the incidence of deliberate ingestion of corrosive chemicals.…”

Section: Introductionmentioning

confidence: 99%

A Nationwide Population-Based Study of Corrosive Ingestion in Taiwan: Incidence, Gender Differences, and Mortality

Chen

Chung

Tsai

et al. 2016

Gastroenterology Research and Practice

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Corrosive injury results from the intake of corrosive-acid-based chemicals. However, this phenomenon is limited to a small number of cases and cannot be extrapolated to the epidemiology of corrosive injuries in actual situations. This study focuses on the annual incidence of corrosive injury and its connection to gender, risk factors, and in-hospital mortality. All patients with corrosive injury (ICD-9 947.0–947.3) were identified using a nationwide inpatient sample from 1996 until 2010. Chi-squared tests and multivariate logistic regression were used to examine risk factors of gender differences and in-hospital mortality of corrosive injury. Young adults comprised the majority of patients (71.2%), and mean age was 44.6 ± 20.9 years. Women showed a higher incidence rate of corrosive injuries, age, suicide, psychiatric disorder, and systemic complications compared with men (p < 0.001). The present study demonstrated that age (OR = 10.93; 95% CI 5.37–22.27), systemic complications (OR = 5.43; 95% CI 4.61–6.41), malignant neoplasms (OR = 2.23; 95% CI 1.37–3.62), gastrointestinal complications (OR = 2.02; 95% CI 1.63–2.51), chronic disease (OR = 1.30; 95% CI 1.08–1.56), and suicide (OR = 1.23; 95% CI 1.05–1.44) were strongly associated with in-hospital mortality. Educational programs may be helpful for reducing the incidence of ingestion of corrosive chemicals.

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Section: Introductionmentioning

confidence: 99%

A Nationwide Population-Based Study of Corrosive Ingestion in Taiwan: Incidence, Gender Differences, and Mortality

Chen

Chung

Tsai

et al. 2016

Gastroenterology Research and Practice

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“…Ogunrombi et al 16 have reported 27 patients with psychopathologic history, who had a limited degree of caustic injuries and better surgical outcomes. In contrast, our experiences demonstrated that PCs were predictors of severe GI tract injuries and involved greater consumption of healthcare resources, more early complications/delayed sequelae, less preservation of the native esophagus/stomach, and poorer long-term survival outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3]5,6,[10][11][12][13][14] Patient age, sex, comorbidities, complications, treatment choices, and socioeconomic status have important roles in survival outcomes and postinjury quality of life. 1,2,4,6,7,12,13,[15][16][17][18][19][20][21] Preventive measures have been widely advocated. 1,6,10,[22][23][24][25] However, the effectiveness of precautions appears unsatisfactory in adults, among whom suicidal intents and deliberate self-harm accounts for the majority of cases.…”

Section: Introductionmentioning

confidence: 99%

“…1,4,5,10,17,25 The associated factors include socioeconomic problems, marital/interpersonal conflicts, low educational status, and negligence in handling caustic substances. 14,16,[23][24][25][26][27][28][29] The high prevalence of psychiatric comorbidities (PCs) has been widely reported among caustic injury victims. 4,10,11,[16][17][18][19]25,27,28,30,31 Nevertheless, the effect of PCs on the clinical features and prognostic outcomes remains unclear because of limited information and scarce reports on long-term prognoses.…”

Section: Introductionmentioning

confidence: 99%

“…14 , 16 , 23 – 29 The high prevalence of psychiatric comorbidities (PCs) has been widely reported among caustic injury victims. 4 , 10 , 11 , 16 – 19 , 25 , 27 , 28 , 30 , 31 Nevertheless, the effect of PCs on the clinical features and prognostic outcomes remains unclear because of limited information and scarce reports on long-term prognoses. To investigate the crucial aspects of caustic GI tract injury, we reviewed 396 cases within 20 years at a north Taiwan medical center.…”

Section: Introductionmentioning

confidence: 99%

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<p>The Association Between Caustic Ingestion and Psychiatric Comorbidity Based on 396 Adults Within 20 Years</p>

Chen¹,

Seak²,

Chen³

et al. 2020

RMHP

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High prevalence of psychiatric comorbidities (PCs) has been widely documented in caustic substance ingestion cases. However, their effect on the clinical features and prognostic outcomes remains unclear due to the paucity of discussion. We report on detailed clinical courses with long-term multifaceted outcomes and review the association between caustic ingestion and each specific PC. Patients and Methods: The retrospective chart review included 396 adults (median follow-up, 16.6 months) with and 377 without (control group) PCs treated between 1999 and 2018 at Chang Gung Memorial Hospital. All PCs were diagnosed/confirmed by psychiatrists through face-to-face interviews. Results: The PCs predicted serious esophagogastroduodenoscopy grading, higher rates of admission/surgery/intensive care unit stay, increments of systemic/gastrointestinal complications, and poorer 5-year overall survival rates. The poor survival among patients with PCs was highly consistent with their baseline characteristics. Significantly advanced age, more non-PCs, alcoholism, illicit drug abuse, and baseline unhealthy status resulted in statistically higher risks of severe complications and limited recovery. Conclusion: PCs changed clinical patterns and had critical roles in the survival outcomes of caustic injury victims. Clinical awareness achieves benefit by limiting injuries in mild cases or allowing emergent interventions in severe cases. Future studies based on worldwide populations are essential for realizing geographic differences.

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Quality of life in patients of corrosive esophageal stricture treated with endoscopic dilatation

et al. 2021

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Background and AimCaustic ingestion is associated with long‐term sequelae in the form of esophageal and/or gastric cicatrization requiring endoscopic or surgical intervention. Quality of life (QoL) and disability in patients with caustic‐induced sequelae is less explored.MethodsIn this prospective study, we included consecutive patients with symptomatic caustic‐induced esophageal stricture undergoing endoscopic dilatation. QoL was measured using the World Health Organization Quality of Life questionnaire (WHOQoL‐BREF). Disability was measured using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0). Subjective dysphagia score was calculated by Likert scale.ResultsA total of 42 patients were included in the study; 25 (59.5%) patients were male. Patients had poor WHOQoL‐BREF and WHODAS scores compared to normality data in all domains of the scores among both the genders. A majority (66.7%) of patients had a current psychiatric diagnosis, with the most common being mood disorder (50%) followed by suicidality (45.2%). Males had a higher prevalence of a previous psychiatric diagnosis compared to females, while females had a higher prevalence of suicidality. Dysphagia score had strong correlation with the WHOQoL (r = −0.66; P < 0.01) and WHODAS (r = 0.71; P < 0.01).ConclusionPatients with esophageal stricture due to caustic ingestion on long‐term endoscopic dilatation have poor QoL, high prevalence of psychological morbidity, and disability.

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The impact of psychological illness on outcome of corrosive esophageal injury

Abstract: Early recognition of psychosocial distress is important to prevent deliberate self-harm. Counter-intuitively, a previous history of psychopathology limits esophageal injury by early presentation and therefore improve chances of a good surgical outcome.

Cited by 10 publications

References 13 publications

A Nationwide Population-Based Study of Corrosive Ingestion in Taiwan: Incidence, Gender Differences, and Mortality

A Nationwide Population-Based Study of Corrosive Ingestion in Taiwan: Incidence, Gender Differences, and Mortality

<p>The Association Between Caustic Ingestion and Psychiatric Comorbidity Based on 396 Adults Within 20 Years</p>

Quality of life in patients of corrosive esophageal stricture treated with endoscopic dilatation

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