The role of chest and abdominal computed tomography in assessing the severity of acute corrosive ingestion

Lurie, Yael; Slotky, M; Fischer, Doron; Shreter, Roni; Bentur, Yedidia

doi:10.3109/15563650.2013.837171

Cited by 35 publications

(30 citation statements)

References 12 publications

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“…As result of tissue edema and inflammation, delayed endoscopy (>48 h) should be avoided because of increased risk of perforation. Recent experience supports the accuracy of CT scan as a diagnostic tool with 75% sensitivity and 90% specificity in determining injury grade, need for surgical intervention and ability to predict complications [34][35][36]. CT scan is noninvasive and may replace endoscopy for triage of patients for immediate surgery in some cases.…”

Section: Resultsmentioning

confidence: 97%

Caustic Material Ingestion Injuries- Paradigm Shift in Diagnosis and Treatment

Katz¹,

Kluger²

2015

Health Care Current Reviews 2015

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Despite efforts to reduce exposure to corrosive household products there are still 5,000 new cases of severe caustic material ingestion injuries (CMI) in the United States each year. If managed inappropriately the associated morbidity and mortality are substantial. In this review we will try to highlight the clinical presentation, diagnostic and management of caustic material ingestion injuries. We will focused on the current trends in the evaluation and management of patients that become more conservative compared to previous decades.

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Section: Resultsmentioning

confidence: 97%

Caustic Material Ingestion Injuries- Paradigm Shift in Diagnosis and Treatment

Katz¹,

Kluger²

2015

Health Care Current Reviews 2015

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“…This table is predominantly summarized from reports by Ito et al . and Yamamura et al . The numbers in the table represent the number of cases unless otherwise stated.…”

Section: Discussionmentioning

confidence: 99%

“…On day 19, no apparent strictures were identified by endoscopy. A CT grading system has been proposed for the prediction of esophageal complications following caustic ingestion. In a retrospective study, Lurie et al .…”

Section: Discussionmentioning

confidence: 99%

“…reported that CT has lower sensitivity and higher specificity than endoscopy for predicting major outcomes . Because CT is non‐invasive, it has a promising role in the early assessment and careful follow‐up of caustic lesions . CT remains useful, particularly when endoscopy is unavailable.…”

Section: Discussionmentioning

confidence: 99%

“…A chest X‐ray followed by contrast‐enhanced CT revealed no esophageal or gastrointestinal perforations. However, the CT demonstrated edematous changes in the pharyngeal, laryngeal, esophageal, and gastric submucosa, which were graded as 1 according to the CT grading system for caustic injury . Milk was then administered through a nasogastric tube to dilute the ingested acid following careful irrigation with physiological saline, resulting in alleviation of her epigastric pain.…”

Section: Casementioning

confidence: 99%

See 2 more Smart Citations

Successful conservative management of a case of caustic esophagitis based on computed tomography assessment

Yonemaru

Karimata

Shimoji

et al. 2015

Acute Medicine & Surgery

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Case:We describe the case of a female patient who ingested approximately 100 mL of toilet bowl cleaner containing 9.5% hydrochloric acid in a suicide attempt. Upon admission for hematemesis and epigastric pain, she was alert and oriented with stable vital signs. Initial contrast-enhanced computed tomography (CT) demonstrated edematous changes with no evidence of upper gastrointestinal tract perforation. Endoscopy was not performed owing to the high risk of perforation. We managed this patient conservatively. Repeat contrast-enhanced CT revealed mediastinal emphysema on day 2, which resolved by day 6. The patient was subsequently discharged with no apparent strictures of the upper gastrointestinal tract.Outcome: Surgical interventions are frequently required following the ingestion of large amounts of highly concentrated hydrochloric acid; however, this patient was successfully managed conservatively. Conclusion:Contrast-enhanced CT is useful in the assessment of the respiratory and digestive systems and the prediction of potential complications.

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An overview of corrosive injury of the upper gastrointestinal tract: Discussion of types, clinical evaluation, and management procedures

Elkaramany

2018

Adv in Digestive Medicine

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Corrosive substances continue to have an impact on the morbidity of children and adolescents in developing countries despite the intensive and extensive education programs directed at susceptible groups, legislations controlling the strength and handling of these substances, and preventive measures of labeling and packaging. The greatest impact is on children between 1 and 3 years of age. Oral lesions are not predictors of either the extent or the severity of the caustic lesion. Upper endoscopy is the cornerstone of the evaluation of the extent of the gastrointestinal injury. Upper endoscopy intervention, including early evaluation, stent insertion, and, stricture dilatation, is subject to discussion and debate.

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The role of chest and abdominal computed tomography in assessing the severity of acute corrosive ingestion

Abstract: CT should not be the only basis for surgical decisions during the initial phase of acute corrosive ingestions.

Cited by 35 publications

References 12 publications

Caustic Material Ingestion Injuries- Paradigm Shift in Diagnosis and Treatment

Caustic Material Ingestion Injuries- Paradigm Shift in Diagnosis and Treatment

Successful conservative management of a case of caustic esophagitis based on computed tomography assessment

An overview of corrosive injury of the upper gastrointestinal tract: Discussion of types, clinical evaluation, and management procedures

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