Esophageal remnant cancer 35 years after acidic caustic injury: A case report

Ntanasis‐Stathopoulos, Ioannis; Triantafyllou, Stamatina; Xiromeritou, Vasiliki; Bliouras, N.; Loizou, Chriso; Theodorou, Dimitrios

doi:10.1016/j.ijscr.2016.06.051

Cited by 9 publications

(6 citation statements)

References 9 publications

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“…La descripción de casos clínicos aislados es insuficiente para realizar un análisis sistemático. Diversos trabajos recientes concluyen que el riesgo de neoplasia posterior a una ingesta cáustica ha sido sobrevalorado en serie antiguas o de casos clínicos aislados 24,66,67 .…”

Section: Pronóstico Existe Un Riesgo De Malignidad Asociado Al Desarrollo De Una Esofagitis Cáustica Severa Se Recomienda En Estos Casos unclassified

Guía de práctica clínica Ibero-Latinoamericana sobre la esofagitis cáustica en Pediatría: Aspectos terapéuticos (2ª. Parte)

et al. 2020

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La ingestión de cáusticos representa un grave problema médico-social por las consecuencias devastadoras e irreversibles que puede producir en el tracto digestivo superior. En Iberoamérica no se han publicado datos fidedignos sobre la incidencia o la prevalencia de lesiones inducidas por cáusticos. La información disponible sobre la presentación clínica, diagnóstico, tratamiento y pronóstico se basa en series retrospectivas de casos y, de hecho, su manejo clínico se sustenta en muchos casos fundamentalmente en la opinión de expertos. Recientemente como una iniciativa de la Sociedad Latinoamericana de Gastroenterología, Hepatología y Nutrición Pediátrica (SLAGHNP) y con la colaboración de colegas de la Sociedad Española de Gastroenterología, Hepatología y Nutrición Pediátrica (SEGHNP), hemos diseñado una Guía de Práctica Clínica (GPC) la cual incluye una serie de enunciados y recomendaciones dirigidos a optimizar la atención a los pacientes y que se basan en la revisión sistemática de la evidencia. En dos (2) manuscritos sucesivos nos hemos enfocado primero, en los aspectos fisiopatológicos y de diagnóstico clínico-endoscópico de la esofagitis cáustica en niños (1ª. Parte) y en segundo lugar, en los aspectos más relevantes del tratamiento (2ª. Parte). Esperamos esta guía se convierta en una herramienta útil para el clínico en el difícil proceso de toma de decisiones a la hora de evaluar un paciente posterior a la ingesta de una sustancia cáustica.

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Section: Pronóstico Existe Un Riesgo De Malignidad Asociado Al Desarrollo De Una Esofagitis Cáustica Severa Se Recomienda En Estos Casos unclassified

Guía de práctica clínica Ibero-Latinoamericana sobre la esofagitis cáustica en Pediatría: Aspectos terapéuticos (2ª. Parte)

et al. 2020

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“…Acute caustic ingestion is associated with immediate complications, including vomiting, hematemesis, aspiration pneumonia, and—rarely—perforation. Late complications include esophageal stricture formation, gastric cicatrization, and—rarely—esophageal carcinoma 6–8 …”

Section: Introductionmentioning

confidence: 99%

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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“…Despite these risk factors, if a patient develops EC and has a history of caustic ingestion, the probability of the origin of their cancer being caustic ingestion is 1000-fold more than the general population, and the prevalence can be from 7% to 30%, being squamous cell carcinoma more common than the adenocarcinoma [12,13]. It is important to mention that this is the latest complication of caustic injury and can appear after decades of the incident, especially in fibrotic areas and strictures where dilations and procedures were performed, thus the patient presented in this case report is at significantly high risk of developing it, and constant vigilance is advised [13].…”

Section: Esophageal Cancermentioning

confidence: 99%

Esophagogastric Complications After Caustic Ingestion: A Case Report

Valencia

Prieto

Jara

et al. 2022

Cureus

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Ingestion of corrosive agents is a well-known factor in extensive GI tract injury. Either acids or alkalis can lead to significant immediate and long-term complications throughout the GI system. The ingestion of these substances in children is often accidental, however, it is typical that in adults is due to suicidal attempts.A 25-year-old male with a history of suicidal attempt one month ago comes to the GI clinic due to unintentional weight loss of 19%, dysphagia of solids, emesis, and regurgitation. Evaluation with an upper gastrointestinal endoscopy was done which showed severe esophageal stenosis (90%), esophagitis Zargar 3a, and total pyloric stenosis. A dilation procedure was attempted, but complicated by severe bleeding; thus, the patient was hospitalized for a new attempt. During the second endoscopy, an esophageal dilation was successfully performed, but the pyloric dilation could not be completed. For that reason, a hepatopancreato-biliary surgeon was consulted and a jejunostomy was performed for enteral nutrition.Caustic agent ingestion can cause different types of injuries including laryngospasms, perforations, necrosis, and mediastinitis in the short term. On the other hand, esophageal stenosis (ES), gastric outlet obstruction (GOO), and esophageal cancer can appear in the long term. In this case, we highlighted the importance of prompt recognition, identification, and grading of the lesions to determine a better outcome and prognosis for the patient.

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Esophageal remnant cancer 35 years after acidic caustic injury: A case report

Cited by 9 publications

References 9 publications

Guía de práctica clínica Ibero-Latinoamericana sobre la esofagitis cáustica en Pediatría: Aspectos terapéuticos (2ª. Parte)

Guía de práctica clínica Ibero-Latinoamericana sobre la esofagitis cáustica en Pediatría: Aspectos terapéuticos (2ª. Parte)

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

Esophagogastric Complications After Caustic Ingestion: A Case Report

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