Radiological spectrum of late sequelae of corrosive injury to upper gastrointestinal tract. a pictorial review

Nagi, B; Kochhar, Rakesh; Thapa, Babu Ram; Singh, Kartar

doi:10.1080/02841850410003329

Cited by 29 publications

(29 citation statements)

References 11 publications

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“…But the findings of an Indian study conducted by Zargar aet al are consistent with our study which reports the use of different types of acids in all cases (16). Indian data are strikingly different; the majority of ingestions are due to acids (17)(18)(19) as these are more easily available…”

Section: Discussion Discussionsupporting

confidence: 90%

Clinico-Endoscopic Profile and Outcome of Corrosive Ingestion: A Single Centre Experience from a Tertiary Care Hospital in Southern India

Tr¹,

G.²,

Hp³

et al. 2019

SGO

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Background: Corrosive substances are common household substances that can be ingested either accidentally or with suicidal intent. Contents of the corrosives range from acid to alkali in varied concentrations. Corrosive ingestion represents serious problems with varied presentation and long term complications. Present study aims to explore the clinical-endoscopic profile and outcome of corrosive ingestion. Methods: We analysed clinical, endoscopy characteristics, outcome and complications of all consecutive patients presented with corrosive ingestion from August 2016 to August 2018. Results: A total of 36 patients were included over a period of 2 years. There were 20 males (55.6%). Mean age of presentation was 35.6 years (3-65 years). Paediatric age group patients were 5(13.8%). Common symptom was vomiting in 21 patients (58.3%). Common mode of ingestion was accidental (66.7%). Acid ingestion was seen in 27 patients (75%). Mean ingestion of corrosive to oesophagogastroduodenoscopy (OGD) time was 31.33 hours. Twenty (55.6%) patients with corrosive injury had Zargar class III mucosal injury. On follow up, 55% of patients with type III mucosal injury developed GI complications like oesophageal stricture and gastric outlet obstruction (GOO). Conclusions: In our study, acid ingestion is seen in two third of patients. Most common mode of ingestion was accidental. Paediatric corrosive ingestion is 13.8%. Half of patients had type III Zargar mucosal injury. 55% of patients with type III mucosal injury developed GI complications like oesophageal stricture and GOO. Zargar type III mucosal injury is associated more with acid ingestion compared to alkali. Endoscopy is safe procedure upto 3 days with no procedure related complications.

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Section: Discussion Discussionsupporting

confidence: 90%

Clinico-Endoscopic Profile and Outcome of Corrosive Ingestion: A Single Centre Experience from a Tertiary Care Hospital in Southern India

Tr¹,

G.²,

Hp³

et al. 2019

SGO

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“…Patients with a high pretest probability of complex (tortuous) stricture (eg, history of caustic ingestion or radiation therapy) should be referred for a barium contrast esophagram as the initial test. After the barium esophagram, upper endoscopy is indicated to determine the underlying cause, exclude malignancy, and perform therapy (eg, dilation) if needed [1][2][3][4][5][6][7][8][9][10].…”

Section: Discussionmentioning

confidence: 99%

Case Report of Caustic Esophageal Strictures treated with Endoscopic Dilation

Antunes¹,

Madden²

2018

J Med - Clin Res & Rev

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“…Studying x‐rays of patients who ingested caustic agents, Nagi et al 7 observed that both acid and alkali produced equally serious stenosis injuries. This is not what we have observed in daily practice, because alkali is more corrosive.…”

Section: Discussionmentioning

confidence: 99%

Effects of Time of Contact and Concentration of Caustic Agent on Generation of Injuries

et al. 2006

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Ten minutes were sufficient to provoke necrosis, and longer contact increased the area of necrosis. Solution concentration levels were more important in damage production: 1.83% was sufficient for epithelial necrosis, 7.33% caused submucosal necrosis, and 14.66% muscle and adventitia necrosis; 33.66% solutions caused lung and trachea damage after 10 minutes and esophageal perforation after 120 minutes.

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Radiological spectrum of late sequelae of corrosive injury to upper gastrointestinal tract. a pictorial review

Cited by 29 publications

References 11 publications

Clinico-Endoscopic Profile and Outcome of Corrosive Ingestion: A Single Centre Experience from a Tertiary Care Hospital in Southern India

Clinico-Endoscopic Profile and Outcome of Corrosive Ingestion: A Single Centre Experience from a Tertiary Care Hospital in Southern India

Case Report of Caustic Esophageal Strictures treated with Endoscopic Dilation

Effects of Time of Contact and Concentration of Caustic Agent on Generation of Injuries

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