Caustic Ingestions

Factors Predicting the Hospital Mortality of Patients with Corrosive Gastrointestinal Injuries Receiving Esophagogastrectomy in the Acute Stage

“…Many studies that discuss the suitable timing of surgical intervention for patients with caustic gastrointestinal injuries were found in the literature [1, 12, 18]. The usual indications are peritoneal signs, grade 3 injuries on EGD [13], intractable metabolic acidosis, and shock [1, 3, 19, 20]. Some doctors have referred to peritoneal free air and pneumothorax on plain radiography as surgical indications [9].…”

Caustic Ingestion: A Risk-Based Algorithm

“…The value of symptoms and pharyngeal or laryngeal injury has previously been controversial: For some authors, neither is related to episode severity (3,5,16,17), whereas for others, both may be associated with a more complicated ingestion (18)(19)(20)(21)(22)(23)(24)(25). These discrepancies could be explained by methodologic issues and by the fact that many of these studies examine their value as individual predictors of adverse outcomes; in our series, however, combining these variables with data on the ingestion pattern (volume and pH) improves prediction accuracy and, in addition, solely their ability to detect cases of positive outcome is considered, rather than their overall diagnostic accuracy.…”

A common public health problem: corrosive ingestion in children

“…Çocuklarda özefagus korozyonlarının şiddeti, yutulan koroziv maddenin tipine, konsantrasyonuna ve miktarına bağlıdır. Bazı yayınlar, koroziv madde içimi sonrası rutin endoskopi önerir ancak semptomları olmayan çocuklarda özefagoskopi yapmanın gereksiz olduğunu (9) , ancak üç ciddi semptom (kusma, salya artışı ve stridor)'dan ikisinin olması durumunda özefagoskopi yapmanın gerekli olduğunu söyleyen yayınlar da mevcuttur (10,11) . Klinik semptomların varlığı ile özefagus hasarı arasında korelasyon olduğunu söyleyen çalışmalar mevcuttur (12,13) .…”