The Role of Urgent Esophagogastroduodenoscopy in Prognosis of Acute Caustic Poisonings

Chibishev, Andon; Pereska, Zanina; Simonovska, Natasa; Babulovska, Aleksandra; Chibisheva, Vesna

doi:10.5455/aim.2011.19.80-84

Cited by 1 publication

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“…According to the latest controlled studies the most optimal timing for esophagogastroduodenoscopy is the first 12-24lhours following corrosive ingestion while according to other authors it may be safely performed within the first 96lhours following corrosive ingestion. 6 ) Endoscopy, as part of the instrumental techniques usable in the acute phase, is the mainstay of diagnostic evaluation and staging, as it allows you to check:l(a)lThe presence of lesions;lll(b)lThe severity of lesions;ll(c)lThe extent of the lesions by considered area (for example the esophagus);l(d)lThe topographical distribution in the upper digestive tract (from the pharynx to the duodenum);lll(e)lThe presence of objective evidences correlated to the risk of perforation. Endoscopy should be always performed in all patients in whom the ingestion of caustic in large amount or strong concentration is sure or at least suspected, such as intentional or pseudovoluntary ones.…”

Section: Discussionmentioning

confidence: 99%

Management of Patient with Caustic Ingestion Injury: A Case Report

Supriadi1,

Budi Widodo,

Brinna Anindita

2021

Indian Journal of Forensic Medicine & Toxicology

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The ingestion of caustic substances, both accidental and voluntary, determines a complex syndrome, characterized by severe, often irreversible, visceral lesions, with still remarkable mortality in highly compromised patients. Al36-year-old woman came to Emergency-Room with the chief complaints of blackish vomiting about 4ltimes after drinking liquid to clean the bathroom floor. Patients with findings of grade 2B esophageal injury, pangastritis and gastric ulcer on endoscopy have high the risk of perforation and complications. Endoscopy done within 12lhours and no later than 24lhours following caustic ingestion to classify mucosal injury subsequent to caustic ingestion is useful to determine the severity of injury, particularly in suicidal cases, and thus helpful in predicting outcomes. Patient threat with rehydration with normal saline, total parenteral nutrition, pump omeprazole, injection of methylprednisolone, antibiotic, and sucralfate. Consultation with the Psychiatry department has been conducted psychoeducation and psychotherapy.

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Section: Discussionmentioning

confidence: 99%