Evaluation and Management of Caustic Injuries from Ingestion of Acid or Alkaline Substances

Park, Kyung Sik

doi:10.5946/ce.2014.47.4.301

Cited by 90 publications

(86 citation statements)

References 32 publications

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“…Endoscopic examinations, as a special type of examinations, or within fiber pan-endoscopy, are carried out for diagnostic and interventional purposes (operativetherapeutic) [4]. The most common indications for diagnostic and therapeutic endoscopy of the upper gastrointestinal tract are: pyrosis or persistent pain despite medication therapy, dysphagia, odynophagia, the evaluation of the symptoms of hematemesis or hidden bleeding after surgery, the evaluation of abnormal contrast radiography, biopsy of gastric ulcers and neo-plastic lesions [4,5]. Specific indications are foreign body extraction and assessment of the degree of mucosal lesions after the caustic ingestion and the control of pre-malignant conditions, Barrett's esophagus and gastric polyps [5,6,7].…”

Section: Introductionmentioning

confidence: 99%

The causes of upper gastrointestinal bleeding and urgent gastroscopy at the Center for Emergency Medicine of the Clinical Center Kragujevac

Milojković-Kicevska¹,

Kovačević²,

Janicijevic-Petrovic³

et al. 2019

Timočki medicinski glasnik

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Introduction: Digestive tract bleeding is a clinical problem that requires hospitalization. Hemorrhages from the upper parts of the digestive system have an incidence of 150/100000 persons per year and are the reason for 1.5% of all emergency hospitalizations. The most common cause of bleeding is gastroduodenal ulcer and erosion in three quarters of cases. Endoscopic haemostatic and gastric acidity status are the most important in the treatment of patients. Aim: To analyze the causes of bleeding from the upper parts of digestive tract and the justification for the urgent gastroscopy. The study was conducted at the Clinical Center Kragujevac in Kragujevac, Serbia. Methods: The study included patients (200) who reported to the emergency room of the Emergency Medicine Center with the clinical picture of bleeding from the upper parts of the digestive tract. Results: Most patients had ulcerative changes at gastric level (58.6%). The most common symptom was melena present in 152 patients. Endoscopic therapy was administered to 44 patients, with 38 patients (86.4%) resulting in arresting bleeding. Conclusion: Hemorrhages from the upper parts of the digestive tract are most commonly caused by peptic ulcers, more common in older, male patients. The first form of diagnosis and therapy is endoscopy, with an efficacy greater than 70%.

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Section: Introductionmentioning

confidence: 99%

The causes of upper gastrointestinal bleeding and urgent gastroscopy at the Center for Emergency Medicine of the Clinical Center Kragujevac

Milojković-Kicevska¹,

Kovačević²,

Janicijevic-Petrovic³

et al. 2019

Timočki medicinski glasnik

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“…Caustic agents poisoning among adults is less frequent and is commonly intentional rather than accidental, as suicidal attempts by ingestion, that causes serious damage to oral mucous membrane, lips, and tongue, as well as esophagus and stomach 4–6…”

Section: Introductionmentioning

confidence: 99%

Acute abdomen as a consequence of an unusual suicide attempt: intra-abdominal injection of sulfuric acid

Lepore¹,

D’Antini²,

Raimondo³

et al. 2016

IMCRJ

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Caustic ingestion is a common cause of life-threatening upper gastrointestinal tract injuries. It mostly happens in children as accidental exposure, but may occur in adults as a result of suicide attempt. We present a case of an acute abdomen that occurred after a peculiar way of self-administration of sulfuric acid as a suicide attempt in an adult psychiatric male patient, already known for self-harm with caustic agents in the previous years. In a few hours, the patient developed diffuse peritonitis, pneumoperitoneum, and a rapid hemodynamic deterioration, as a consequence of ileum and sigmoid necrosis, requiring an emergency surgery with the application of a damage control strategy. The patient was then transferred to intensive care unit for hemodynamic stabilization, and definitive surgical correction of the abdominal lesions was performed after 3 days with Hartmann procedure. Thirty-nine days after hospital admission, the patient was discharged. In conclusion, to our knowledge, never has been reported in the literature a case of intra-abdominal self-administration of caustic substance causing a rapid evolution of clinical conditions and requiring the application of damage control strategy.

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“…1 Alkaline ingestion causes corrosive pharyngitis and esophagitis, with sclerotic stenosis as a late complication. 2 Lower gastrointestinal tract injuries rarely occur, because alkali is neutralized in the stomach. 3 We report an unusual case in which alkaline ingestion caused inflammatory changes in the small intestine and localized stenosis, leading to intestinal obstruction, although the upper gastrointestinal tract showed no injuries.…”

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confidence: 99%

A case of intestinal obstruction due to inflammatory changes in the small intestine from alkaline ingestion

Maruhashi

Hanajima

Nakatani

et al. 2018

Acute Medicine & Surgery

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CaseAlkaline ingestion frequently causes corrosive esophagitis but rarely causes lower digestive tract injury. In this case, a 79‐year‐old man accidentally drank kitchen detergent. After 3 h, lower abdominal pain occurred and gradually worsened. He was taking a proton pump inhibitor after proximal gastrectomy for gastric cancer. He had local tenderness in the left lower abdomen. Abdominal computed tomography showed expansion of the small intestine, thickening of the intestinal wall, and inflammatory changes. Upper gastrointestinal endoscopy showed no obvious injury to the esophagus or stomach.OutcomeConservative treatment with an ileus tube was undertaken for intestinal obstruction caused by alkaline ingestion. There were no complications, such as gastrointestinal perforation, and he was discharged on day 17.ConclusionAlkaline ingestion may cause injuries not only to the upper but also to the lower digestive tract in patients who are taking proton pump inhibitors or have had gastrectomy.

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Evaluation and Management of Caustic Injuries from Ingestion of Acid or Alkaline Substances

Cited by 90 publications

References 32 publications

The causes of upper gastrointestinal bleeding and urgent gastroscopy at the Center for Emergency Medicine of the Clinical Center Kragujevac

The causes of upper gastrointestinal bleeding and urgent gastroscopy at the Center for Emergency Medicine of the Clinical Center Kragujevac

Acute abdomen as a consequence of an unusual suicide attempt: intra-abdominal injection of sulfuric acid

A case of intestinal obstruction due to inflammatory changes in the small intestine from alkaline ingestion

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